Individual
KEVIN DANIEL CHODNICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 1ST DR NW, AUSTIN, MN 55912-2941
(507) 433-7351
Mailing address
1000 1ST DR NW, AUSTIN, MN 55912-2941
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
282966
MA
207W00000X
Ophthalmology Physician
Primary
62490
MN
Other
Enumeration date
04/08/2016
Last updated
08/18/2021
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