Individual
DR. ILAN VAVILIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0341
(612) 625-5454
Mailing address
420 DELAWARE ST SE DEPT M, MINNEAPOLIS, MN 55455-0386
(612) 625-5454
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101270941
VA
207R00000X
Internal Medicine Physician
Primary
81522
MN
207R00000X
Internal Medicine Physician
MD210002590
DC
Other
Enumeration date
03/19/2019
Last updated
03/25/2026
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