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1487637955
IGOR P OSTANNY
WACONIA, MN
NPI
1487637955
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: MN 41038)
Enumeration Date
2005-11-29
Last Update Date
2007-07-09
Business Address
-- IGOR P OSTANNY MD
500 S MAPLE ST
WACONIA, MN 55387-1752
Phone number: 952-442-7015
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Mailing Address
-- IGOR P OSTANNY MD
29 E MAIN ST
WACONIA, MN 55387-1114
Phone number: 952-442-7015
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