Individual
ALEXANDER VADIMOVICH KORNEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
4570 W 77TH ST STE 140, EDINA, MN 55435-5004
(952) 500-8733
(763) 542-8142
Mailing address
4570 W 77TH ST STE 140, EDINA, MN 55435-5004
(952) 500-8733
(763) 542-8142
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1619
MN
Other
Enumeration date
09/20/2013
Last updated
09/20/2013
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