Individual
YELENA SERGEEVNA MIRONOVA-CHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
675 E NICOLLET BLVD, BURNSVILLE, MN 55337-6741
(952) 993-3307
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
1336598812
WI
2084P0800X
Psychiatry Physician
Primary
66753
MN
2084P0800X
Psychiatry Physician
69136
WI
Other
Enumeration date
06/06/2016
Last updated
07/01/2021
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