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Individual

DENIS PERERVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2211 RIVERSIDE AVE, PO BOX 149, MINNEAPOLIS, MN 55454-1350
(612) 330-1399
Mailing address
6701 RICHFIELD PKWY APT C217, RICHFIELD, MN 55423-7525
(612) 205-1745

Taxonomy

Speciality
Code
Description
License number
State
146L00000X
Paramedic
1170-2204-1472
MN
363A00000X
Physician Assistant
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
05/16/2024
Last updated
05/16/2024
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