IndividualActive
Boriana Petkov, MD
NPI 1942378872 · Surgery Physician · Waconia, MN
Provider details
- NPI number
- 1942378872
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- EC-06-1083 (ME)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
424 W State Highway 5
Waconia, MN 55387-1723
Phone: (952) 442-4461
Approximate (ZIP-level) locationGet directions
Mailing address
424 W State Highway 5
Waconia, MN 55387-1723
Registry dates
- Enumerated
- 2006-11-30
- Last updated
- 2015-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.