Individual
OLEKSANDR KRAVTSOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-3522
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
64723
MN
390200000X
Student in an Organized Health Care Education/Training Program
5516-851
WI
Other
Enumeration date
07/20/2015
Last updated
05/15/2019
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