Individual
DR. MARIYA O POGORELOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
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
207R00000X
Internal Medicine Physician
50265-20
WI
207R00000X
Internal Medicine Physician
Primary
73709
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417161944
BCBSWI
WI
05
—
34918300
—
WI
01
—
60678
DEAN HEALTH INSURANCE
WI
01
—
POGOMAR
MERCYCARE INSURANCE
WI
Enumeration date
05/10/2007
Last updated
04/07/2023
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