Individual
DR. ELENA S. PEKUROVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C., DACM, L.AC.
Contact information
Practice address
8421 WAYZATA BLVD STE 230, GOLDEN VALLEY, MN 55426-1392
(612) 242-1335
(866) 420-3717
Mailing address
17710 35TH AVE N, PLYMOUTH, MN 55447-1172
(612) 242-1335
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
3627
MN
171100000X
Acupuncturist
Primary
1582
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44-01147
MEDICA
MN
05
—
5110285
—
MN
01
—
527K1AM
BCBS IDENTIFICATION #
MN
01
—
528K1PE
BCBS INDIVIDUAL PROVIDER
MN
05
—
543716400
—
MN
Enumeration date
10/12/2006
Last updated
02/22/2023
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