Individual provider · Type 1 NPI

Maxim Nikolaevskiy

Student in an Organized Health Care Education/Training Program · Minneapolis, MN

NPI number 1689426181 Active

Practice location

701 Park Ave
Minneapolis, MN 55415-1623

Call (612) 873-3000 Map

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X80436 (MN)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1689426181

Maxim Nikolaevskiy's National Provider Identifier is 1689426181, issued on Apr 5, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Minneapolis, MN. The record was last updated on Jul 13, 2025.