Individual
ANATOLIY VELIKODANOV
Active
Individual
ANATOLIY VELIKODANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
151683-30
WI
363LA2200X
Adult Health Nurse Practitioner
Primary
3666-33
WI
Other
Enumeration date
04/09/2009
Last updated
08/09/2011
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