Individual
MS. ANNA G. RAKOVSHIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4155 COUNTY ROAD 101 N, PLYMOUTH, MN 55446-2307
(952) 993-8900
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
47934
WI
208000000X
Pediatrics Physician
Primary
56694
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
348482000
—
WI
Enumeration date
05/31/2006
Last updated
03/16/2021
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