Most Relevant Information
Provider Data
| NPI Number: | 1003385303 |
| Provider Name: | IRINA KOROLKOV RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 193680-30 |
Most Important Dates
| Enumeration Date: | 11/15/2018 |
| Last Updated: | 11/15/2018 |
Provider Practice Location
9301 S COBBLESTONE WAY UNIT G
FRANKLIN
WI
531327510
Practice Location Phone/Fax
| Phone: | 4147367475 |
| Fax: |
Provider Mailing Location
9301 S COBBLESTONE WAY UNIT G
FRANKLIN
WI
531327510
Provider Mailing Phone/Fax
| Phone: | 4147367475 |
| Fax: |