Individual
MICHAEL SERYAKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
635 1ST ST SE, FARIBAULT, MN 55021-6321
(507) 333-3300
Mailing address
8871 MERRIMAC LN N, MAPLE GROVE, MN 55311-1609
(763) 416-6541
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
42570
MN
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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