OMRI SHOCHATOVITZ

ST LOUIS PARK, MN
NPI1750368270
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MN  33160)
Enumeration Date2005-12-27
Last Update Date2012-03-07
Business Address
-- OMRI SHOCHATOVITZ
3850 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416-2527
Phone number: 952-993-3025
Mailing Address
-- OMRI SHOCHATOVITZ
3800 PARK NICOLLET BLVD CREDENTIALING
ST LOUIS PARK, MN 55416-2527
Phone number: