Healthcare Provider Details

I. General information

NPI: 1043744196
Provider Name (Legal Business Name): AIGERIM B. SAULEBAYEVA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2017
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1455 MONTREAL ST SE
HUTCHINSON MN
55350-3318
US

IV. Provider business mailing address

1455 MONTREAL ST SE
HUTCHINSON MN
55350-3318
US

V. Phone/Fax

Practice location:
  • Phone: 612-355-6510
  • Fax: 612-713-9360
Mailing address:
  • Phone: 612-355-6510
  • Fax: 612-713-9360

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number21158
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number74021
License Number StateMN
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number309767
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: