Individual
ALLA SEGALCHIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10194
MN
363A00000X
Physician Assistant
50-001385
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000342192
ANTHEM
OH
05
—
917638000
—
MN
01
—
P00213551
RAILROAD MEDICARE
OH
Enumeration date
11/21/2005
Last updated
10/19/2012
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