Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | 58436 | MN |
Y | 207RH0003X | Hematology & Oncology | 58436 | MN |
NPI | 1184820359 |
---|---|
Provider Name | Dr. Mikhail G Perlov |
First Address | Bloomington, MN 55425-4516 |
Second Address | Minneapolis, MN 55454-1321 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2007 |
Last Update Date | 16/03/2020 |