Individual
IRYNA N/A VANCHUGOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 PINE TREE DR, ARDEN HILLS, MN 55112-3754
(651) 635-8000
Mailing address
17600 14TH AVE N APT 106, PLYMOUTH, MN 55447-2948
(763) 245-8436
(763) 245-8436
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
MN
Other
Enumeration date
05/03/2025
Last updated
05/03/2025
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