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Contact Information

IVAN KUZNETSOV
34585 US HIGHWAY 59 SE
ERSKINE, MN56535-9465
 Phone: 218-902-0653
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Private Vehicle

347C00000X
Indicates primary specialty

NPI Profile & details for IVAN KUZNETSOV · (Male)

NPI Number 1881206522
Status Active
Credentials
Entity Individual
Enumeration date 08/22/2020
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 383545
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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