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Individual

OLEG FROYMOVICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
701 25TH AVE S, SUITE 200, MINNEAPOLIS, MN 55454-1513
(612) 339-2124
(612) 843-3550
Mailing address
701 25TH AVE S, SUITE 200, MINNEAPOLIS, MN 55454-1513
(612) 339-2124
(612) 843-3550

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
34746-020
WI
207Y00000X
Otolaryngology Physician
Primary
36536
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1028424
SELECT CARE
MN
01
112123C986
UCARE
MN
01
20942
AMERICAS PPO
MN
01
2M287FR
BCBS OF MN
MN
05
32002100
WI
01
34746-020
WISC LICENSE NUMBER
WI
05
724365100
MN
01
961121000169
PREFERRED ONE
MN
01
F58068
WAUSAU/PT CHOICE
FM
01
HP13326
HEALTH PARTNERS
MN
Enumeration date
04/18/2006
Last updated
09/27/2012
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