Individual
DR. BORIANA I PETKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
424 W STATE HIGHWAY 5, WACONIA, MN 55387-1723
(952) 442-4461
Mailing address
424 W STATE HIGHWAY 5, WACONIA, MN 55387-1723
(952) 442-4461
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
EC-06-1083
ME
Other
Enumeration date
11/30/2006
Last updated
10/31/2015
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