Individual
ALEX USPENSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5851 DULUTH STREET, SUITE 311, GOLDEN VALLEY, MN 55422
(763) 541-9806
(763) 541-9821
Mailing address
5851 DULUTH STREET, SUITE 311, GOLDEN VALLEY, MN 55422
(763) 541-9806
(763) 541-9821
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
28060
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
097880900
—
MN
01
—
1553355
MEDICA
MN
01
—
57822US
BCBS OF MN
MN
Enumeration date
11/14/2005
Last updated
11/29/2010
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