Individual
DR. EMIL D. KORETZKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
011414
LA
207N00000X
Dermatology Physician
Primary
20192
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014939000
—
MN
05
—
1158607
—
LA
05
—
207N00000X
—
WI
05
—
ENROLLED
—
IA
01
—
P00309450
RAILROAD MEDICARE
MN
Enumeration date
06/20/2005
Last updated
11/20/2008
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