Individual
GENNADIY VASILYEVICH SHEVCHENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3809 42ND AVE S, MINNEAPOLIS, MN 55406-3503
(612) 721-6261
(612) 721-1691
Mailing address
3809 42ND AVE S, MINNEAPOLIS, MN 55406-3503
(612) 721-6261
(612) 721-1691
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
59255
MN
Other
Enumeration date
04/19/2011
Last updated
08/22/2016
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