Individual
IVAYLO L KRASTEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 625-4031
Mailing address
14775 HALLMARK DR, APPLE VALLEY, MN 55124-7400
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
52814
MN
207R00000X
Internal Medicine Physician
Primary
52814
MN
Other
Enumeration date
01/20/2009
Last updated
01/05/2021
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