KONSTANTIN V. SHATSKIKH

OWATONNA, MN
NPI1346435740
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: MN  10312)
Enumeration Date2007-09-09
Last Update Date2020-09-29
Business Address
Mr. KONSTANTIN V. SHATSKIKH PA-C
2200 NW 26TH ST
OWATONNA, MN 55060
Phone number: 504-451-1120
Mailing Address
Mr. KONSTANTIN V. SHATSKIKH PA-C
2200 NW 26TH ST
OWATONNA, MN 55060-5503
Phone number: 504-451-1120