Organization
REHABILITATION CONSULTANTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELENA LEV POLUKHIN MD (MEDICAL DIRECTOR)
(651) 699-0633
Entity
Organization
Contact information
Practice address
880 BLUE GENTIAN RD, SUITE 150, EAGAN, MN 55121-1669
(651) 379-1600
(651) 379-1650
Mailing address
3006 FRANK ST, MAPLEWOOD, MN 55109-5501
(651) 699-0633
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
45600
MN
Other
Enumeration date
12/17/2006
Last updated
06/18/2009
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