person
Richard Peter Cervenka, DPM
Foot Surgery Podiatrist in Coon Rapids, Minnesota
NPI 1306832464

Richard Peter Cervenka is a Foot Surgery Podiatrist based in Coon Rapids, MN and is specialized in Foot Surgery. Richard Peter Cervenka practices in Coon Rapids, MN and has the professional credentials of DPM. The NPI Number for Richard Peter Cervenka is 1306832464 and holds a License No. 304 (Minnesota).

The current practice location address for Richard Peter Cervenka is 3790 117Th Ln Nw, Coon Rapids, MN and can be reached out via phone at 763-421-7300 and via fax at 763-421-3337.

Location: 3790 117Th Ln Nw, Coon Rapids, MN, 55433-2666
person
Provider Profile Details
NPI Number
1306832464
Provider Name
Richard Peter Cervenka
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
3790 117Th Ln Nw, Coon Rapids, MN, 55433-2666
Phone Number
763-421-7300
Fax Number
763-421-3337
Provider Enumeration Date
09/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
042325400 05 MN
34039CE 01 MN BC
institution
Provider Business Practice Location Address Details
Address
3790 117Th Ln Nw
City
State
Zip
55433-2666
Phone Number
763-421-7300
Fax Number
763-421-3337
person
Provider Business Mailing Address Details
Address
3790 117Th Ln Nw
City
State
Zip
55433-2666
Phone Number
763-421-7300
Fax Number
763-421-3337
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
304 (Minnesota)
Definition
Definition to come...
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