Individual
DR. JOAN M KOVACOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6500 EXCELSIOR BLVD, STE 839, ST LOUIS PARK, MN 55426-4702
(952) 993-6600
Mailing address
3800 PARK NICOLLET BLVD, CREDENTIALING, ST LOUIS PARK, MN 55416-2527
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36813
MN
Other
Enumeration date
12/07/2005
Last updated
03/02/2012
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