Individual
IGOR KULKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3008 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414-3316
(612) 378-1040
Mailing address
3008 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414-3316
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R211133-7
MN
Other
Enumeration date
09/24/2014
Last updated
09/26/2014
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