Individual
DR. CHRISTOPHER J KOVANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MEDICAL DOCTOR
Contact information
Practice address
4999 FRANCE AVE S STE 210, EDINA, MN 55410-2168
(612) 335-9032
Mailing address
9325 UPLAND LN N STE 205, MAPLE GROVE, MN 55369-4474
(763) 416-0676
(763) 416-0476
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
41657
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123451
UCARE
MN
01
—
1300021
MEDICA PRIMARY
MN
01
—
1312285
MEDICA
MN
01
—
240006520
RAILROAD MEDICARE
MN
05
—
32594400
—
WI
01
—
40B11KO
BLUE CROSS BLUE SHIELD
MN
01
—
41657
MINNESOTA LICENSE
MN
05
—
852226000
—
MN
01
—
960011020119
PREFERREDONE
MN
01
—
HP28575
HEALTHPARTNERS
MN
Enumeration date
08/30/2006
Last updated
12/10/2019
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