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Dr. Ilya Perepelitsyn, MD
Otolaryngology/Facial Plastic Surgery Physician in Minneapolis, Minnesota
NPI 1992795058

Ilya Perepelitsyn is a Otolaryngology/Facial Plastic Surgery Physician based in Minneapolis, MN and is specialized in Otolaryngology/Facial Plastic Surgery. Ilya Perepelitsyn practices in Minneapolis, MN and has the professional credentials of MD. The NPI Number for Ilya Perepelitsyn is 1992795058 and holds a License No. 219565 (Minnesota).

The current practice location address for Ilya Perepelitsyn is 2211 Park Ave, Minneapolis, MN and can be reached out via phone at 612-871-1144 and via fax at 612-871-2012.

Location: 2211 Park Ave, Minneapolis, MN, 55404-3711
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992795058
Provider Name
Ilya Perepelitsyn
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2211 Park Ave, Minneapolis, MN, 55404-3711
Phone Number
612-871-1144
Fax Number
612-871-2012
Provider Enumeration Date
10/28/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
305473200 05 MN
AA11436 01 MA HARVARD PILGRIM
J27270 01 MA BLUE CROSS BLUE SHIELD
34756700 05 WI
institution
Provider Business Practice Location Address Details
Address
2211 Park Ave
City
Minneapolis
State
Minnesota
Zip
55404-3711
Phone Number
612-871-1144
Fax Number
612-871-2012
person
Provider Business Mailing Address Details
Address
2211 Park Ave
City
Minneapolis
State
Minnesota
Zip
55404-3711
Phone Number
612-871-1144
Fax Number
612-871-2012
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngology/Facial Plastic Surgery
Taxonomy
207YX0905X
License No.
219565 (Massachusetts)
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
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