Individual
DR. ANDREW JOHN PISANSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MS
Contact information
Practice address
12000 ELM CREEK BLVD N STE 300, MAPLE GROVE, MN 55369-7075
(952) 841-2345
(952) 841-2346
Mailing address
7235 OHMS LN, EDINA, MN 55439-2148
(952) 841-2345
(952) 841-2346
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
272226
MA
207LP2900X
Pain Medicine (Anesthesiology) Physician
61043
TN
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
72272
MN
Other
Enumeration date
07/01/2015
Last updated
01/31/2024
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