MAXIM NIKOLAEVSKIY

MINNEAPOLIS, MN
NPI1689426181
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Additional Taxonomies207Q00000X Family Medicine
(Licence: MN  80436)
Enumeration Date2024-04-05
Last Update Date2025-07-13
Business Address
MAXIM NIKOLAEVSKIY
701 PARK AVE
MINNEAPOLIS, MN 55415-1623
Phone number: 612-873-3000
Mailing Address
MAXIM NIKOLAEVSKIY
701 PARK AVE
MINNEAPOLIS, MN 55415-1623
Phone number: