MATVEH PANYA

EAGAN, MN
NPI1801391594
Former NameMATVEH CHERNYAEV
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: MN  12684)
Enumeration Date2018-03-26
Last Update Date2018-09-14
Business Address
MATVEH PANYA PA-C
1440 DUCKWOOD DR
EAGAN, MN 55122
Phone number: 612-435-7380
Mailing Address
MATVEH PANYA PA-C
1440 DUCKWOOD DR
EAGAN, MN 55122-1451
Phone number: 612-435-7380