Individual
DR. YEVGENIY VLADIMIROVICH SYCHEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
710 E 24TH ST STE 304, MINNEAPOLIS, MN 55404-3846
(800) 233-8504
(952) 460-5274
Mailing address
3601 W 76TH ST, STE 300, EDINA, MN 55435-3004
(952) 929-1131
(952) 929-8873
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
63502
MN
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
63502
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609166768
—
WA
Enumeration date
04/11/2011
Last updated
12/22/2021
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