Individual
YURII SHAVUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15200 HELIUM ST NW, RAMSEY, MN 55303-6143
(763) 321-6475
Mailing address
15200 HELIUM ST NW, RAMSEY, MN 55303-6143
(763) 321-6475
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
03/03/2022
Last updated
03/03/2022
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