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Individual

DR. ANDREW SURMAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3808 GRAND WAY, SAINT LOUIS PARK, MN 55416-4788
(952) 920-0580
Mailing address
2001 BUTTERFIELD RD, STE 300, DOWNERS GROVE, IL 60515-1050
(630) 725-2730
(844) 205-5691

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
64923
MN
2086S0129X
Vascular Surgery Physician
D24929
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
257281800
MD
Enumeration date
07/12/2005
Last updated
05/17/2019
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