Provider Demographics
NPI:1275976722
Name:DRUZHININ, MIKHAIL Y (CSFA, CST)
Entity Type:Individual
Prefix:
First Name:MIKHAIL
Middle Name:Y
Last Name:DRUZHININ
Suffix:
Gender:M
Credentials:CSFA, CST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8156 S WADSWORTH BLVD STE E337
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80128-9114
Mailing Address - Country:US
Mailing Address - Phone:720-442-2988
Mailing Address - Fax:
Practice Address - Street 1:8156 S WADSWORTH BLVD STE E337
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80128-9114
Practice Address - Country:US
Practice Address - Phone:720-442-2988
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-15
Last Update Date:2018-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
COSA.0001714OtherCOLORADO DEPARTMENT OF REGULATORY AGENCIES