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Ivan Kuznetsov

NPI 1881206522 · on the registry since 2020 · sole proprietor

Practice

Address
34585 Us Highway 59 Se
Erskine, MN 56535
Phone
(218) 902-0653

Registry record

Primary taxonomy
Private Vehicle
347C00000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-08-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota