Individual
PATRICIA E PENOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
225 SMITH AVE N, SUITE 201, SAINT PAUL, MN 55102-2697
(651) 241-5290
(651) 241-5248
Mailing address
225 SMITH AVE N, SUITE 201, SAINT PAUL, MN 55102-2697
(651) 241-5290
(651) 241-5248
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35488
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
893702800
—
MN
Enumeration date
07/16/2006
Last updated
04/11/2011
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