Individual
MR. ANDREW RAYMOND PEROUTKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RCP RRT CRTT
Contact information
Practice address
16083 GUNFLINT CIR, LAKEVILLE, MN 55044-5252
(952) 431-1860
Mailing address
16083 GUNFLINT CIR, LAKEVILLE, MN 55044-5252
(952) 431-1860
Taxonomy
Speciality
Code
Description
License number
State
2279P1005X
Pulmonary Rehabilitation Registered Respiratory Therapist
Primary
1691
MN
Other
Enumeration date
06/04/2007
Last updated
07/08/2007
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