Individual
PHILLIP KORKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
317 YORK AVE, SAINT PAUL, MN 55130-4039
(651) 774-0202
(651) 774-5517
Mailing address
317 YORK AVE, SAINT PAUL, MN 55130-4039
(651) 774-0202
(651) 774-5517
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
R 97432-7
MN
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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