Individual
DR. MICHAEL S SKULSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2355 HWY 36 W., STE. 100, ROSEVILLE, MN 55113
(651) 292-2000
Mailing address
2355 HWY 36, STE. 100, ROSEVILLE, MN 55113
(651) 292-2000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01052032A
IN
2085R0202X
Diagnostic Radiology Physician
Primary
38919
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000082138
ANTHEM-351158723
IN
01
—
000000492368
ANTHEM 203778927
IN
01
—
000070
SIHO-351158723
IN
01
—
071673
HEALTH ALLIANCE-351158723
IN
05
—
200251530
—
IN
01
—
300108999
RR MEDICARE-351158723
IN
01
—
Q0072037
CMOSHO351158723&352047427
IN
Enumeration date
12/13/2005
Last updated
03/29/2023
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