Individual
JOANNA KUSMIREK
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
2085R0202X
Diagnostic Radiology Physician
0101258308
VA
2085R0202X
Diagnostic Radiology Physician
Primary
72698
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06038
—
LA
Enumeration date
05/15/2008
Last updated
05/19/2023
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