Individual
PETER I KARACHUNSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2450 RIVERSIDE AVE SE, MINNEAPOLIS, MN 55455-5545
(612) 365-6777
(612) 365-8021
Mailing address
2450 RIVERSIDE AVE SE, MINNEAPOLIS, MN 55454-1450
(612) 365-6777
(612) 365-8021
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
47339
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0144625
—
MT
01
—
05-00144
MEDICA-PRIMARY
—
01
—
05-00682
MEDICA-CHOICE
—
05
—
0595983
—
IA
01
—
1044949
PREFERRED ONE
—
01
—
135153
U CARE
—
01
—
2378185
ARAZ
—
01
—
23954-1
FAIRVIEW CAREGIVER ID
—
05
—
34668100
—
WI
01
—
497K2KA
BLUE CROSS BLUE SHIELD
MN
01
—
C002
CHAMPUS
—
01
—
HP54585
HEALTH PARTNERS
—
Enumeration date
10/10/2006
Last updated
10/04/2017
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