Individual
KATERINA O. BELOUSOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10000 ZANE AVE N, BROOKLYN PARK, MN 55443-1400
(763) 572-5700
(763) 596-6200
Mailing address
21395 JOHN MILLESS DR, SUITE 100, ROGERS, MN 55374-4402
(763) 504-6400
(763) 504-6410
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10920
MN
Other
Enumeration date
08/22/2011
Last updated
08/24/2020
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