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

Peter Nicholas Goncharov

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1740118322

Peter Nicholas Goncharov is a Student in an Organized Health Care Education/Training Program in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2026.

Licensed in
MN
In the registry since
2026

Practice location Address checks out

2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone: (612) 365-1000
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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 (MN)

Record details

NPI number1740118322
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 12, 2026
Last updated in NPPESMay 12, 2026
Certification dateMay 12, 2026
Mailing address420 Delaware St Se, Minneapolis, MN 55455-0341

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