Individual
DR. EMIL D. KORETZKY
Active
Individual
DR. EMIL D. KORETZKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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