Individual
IRENA CICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-0000
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
69460
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2019
Last updated
10/21/2024
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