Individual
DR. ELENA IVANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1300 ANNE ST NW, BEMIDJI, MN 56601-5103
(763) 210-9808
Mailing address
1300 ANNE ST NW, BEMIDJI, MN 56601-5103
(763) 210-9808
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
78105
MN
Other
Enumeration date
03/25/2021
Last updated
07/23/2025
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