Rakovshik, Anna G.

Rakovshik, Anna G. is an individual health care provider with primary practice located at 4155 County Road 101 N , Plymouth MN 55446-2307. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Rakovshik, Anna G. can be contacted via phone (952) 993-8900.

Contact Information

Primary practice address
4155 County Road 101 N Plymouth MN 55446-2307
Phone: (952) 993-8900
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 47934 Wisconsin
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 56694 Minnesota

Profile Details

NPI number 1194772319
LBN Legal business name Rakovshik, Anna G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Mar 16th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194772319 NPPES
Wisconsin MEDICAID 348482000

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