Individual
DR. JOHN D CERVENKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 MAIN ST E, SUITE 1, NEW PRAGUE, MN 56071-1803
(952) 758-1050
(952) 758-5011
Mailing address
301 MAIN ST E, SUITE 1, NEW PRAGUE, MN 56071-1803
(952) 758-1050
(952) 758-5011
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19785
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
943368600
—
MN
Enumeration date
05/26/2006
Last updated
09/11/2013
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