Individual
BRIAN STEPHAN PALLOHUSKY
Active
Individual
BRIAN STEPHAN PALLOHUSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2010003850
MO
207L00000X
Anesthesiology Physician
49827
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477671212
—
MO
05
—
413613000
—
MN
Enumeration date
03/27/2007
Last updated
05/22/2013
Update your record
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