Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Maxim Nikolaevskiy

Individual provider Family Medicine Physician · NPI 1689426181

Maxim Nikolaevskiy is a Family Medicine Physician in Minneapolis, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

701 Park Ave
Minneapolis, MN 55415-1623
Phone: (612) 873-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Family Medicine Physician Taxonomy 207Q00000X · Licence 80436 (MN)

Record details

NPI number1689426181
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 5, 2024
Last updated in NPPESJuly 13, 2025
Certification dateJuly 13, 2025

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