Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ILYA PEREPELITSYN, MD
ActiveDR. ILYA PEREPELITSYN, MD is a Facial Plastic Surgery healthcare provider located in MINNEAPOLIS, Minnesota. NPI 1992795058 is currently active in the NPPES registry. Verify at CMS.
Facial Plastic Surgery · MINNEAPOLIS, MN
Registration Details
- NPI Number
- 1992795058
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 28, 2005 (20.807313655655 yrs)
- Last Updated
- Jun 13, 2013
- Licenses
-
219565 (MA)49351 (MN)
Practice Information
- Address
-
2211 PARK AVEMINNEAPOLIS, MN, 554043711Browse MN providers · Browse ZIP 55404
- Phone
- 6128711144
- Fax
- 6128712012
- Primary Specialty
-
Facial Plastic Surgery
207YX0905X
- Additional Specialty
- Facial Plastic Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.