IndividualActive
Ilya Perepelitsyn, MD
NPI 1992795058 · Otolaryngology/Facial Plastic Surgery Physician · Minneapolis, MN
Provider details
- NPI number
- 1992795058
- Entity type
- Individual
- Primary specialty
- Otolaryngology/Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 219565 (MA)
Practice location
2211 Park Ave
Minneapolis, MN 55404-3711
Phone: (612) 871-1144
Fax: (612) 871-2012
Mailing address
2211 Park Ave
Minneapolis, MN 55404-3711
Registry dates
- Enumerated
- 2005-10-28
- Last updated
- 2013-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.