Individual
JOHN CASNOVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5775 WAYZATA BLVD STE 190, ST LOUIS PARK, MN 55416-2627
(952) 541-1840
(952) 543-6524
Mailing address
5775 WAYZATA BLVD STE 400, ST LOUIS PARK, MN 55416-1271
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
73386
MN
208VP0000X
Pain Medicine Physician
73386
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2019
Last updated
08/27/2024
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