Individual
DIMITRI A. KAMENSHIKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7920 CEDAR AVE S, BLOOMINGTON, MN 55425-1207
(952) 428-1800
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
1366-TEP
WI
207VX0000X
Obstetrics Physician
Primary
51151
MN
390200000X
Student in an Organized Health Care Education/Training Program
49154
WI
Other
Enumeration date
04/20/2006
Last updated
03/11/2021
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