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Individual
DR. ALEXANDER ANATOLEVICH IVANOV
Active
Individual
DR. ALEXANDER ANATOLEVICH IVANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
262249
NC
207RC0000X
Cardiovascular Disease Physician
262249
NC
207RC0000X
Cardiovascular Disease Physician
Primary
83330
WI
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
262249
NC
207RC0001X
Clinical Cardiac Electrophysiology Physician
83330-20
WI
Other
Enumeration date
03/28/2017
Last updated
05/29/2026
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