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1851858674
MAKSIM KOZAK
FARIBAULT, MN
NPI
1851858674
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MN 12822)
Enumeration Date
2019-02-28
Last Update Date
2021-03-11
Business Address
MAKSIM KOZAK PA
35 STATE AVE STE 1
FARIBAULT, MN 55021
Phone number: 507-497-3528
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Mailing Address
MAKSIM KOZAK PA
2925 CHICAGO AVE
MINNEAPOLIS, MN 55407-1321
Phone number: 612-262-5000
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