Suresh Gundaji MBBS

NPI 1467662601 - Family Medicine - 207Q00000X

NPI Details
NPI 1467662601
Gender Male
Enumeration Date 05/23/2007
Last Updated 01/07/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
20 9TH ST SE
CENTRACARE HEALTH SYSTEM - LONG PRAIRIE
LONG PRAIRIE MN, 56347-1404, US
Phone (320) 732-2131
Fax (320) 732-6913
Business Location
20 9TH ST SE
CENTRACARE HEALTH SYSTEM - LONG PRAIRIE
LONG PRAIRIE MN, 56347-1404, US
Phone (320) 732-2131
Fax (320) 732-6913
Toxanomy
Taxonomy Code 207Q00000X
License State Minnesota
License Number 104345
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According to our database, Suresh Gundaji MBBS NPI is 1467662601, taxonomy code is 207Q00000X and license number is 104345, license state is located at Minnesota. Suresh Gundaji MBBS physically located at 20 9th St Se, Long Prairie MN, 56347-1404. NPI Number Suresh Gundaji MBBS has the Individual type.

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1467662601 NPI number is provided on an as is basis without warranty of any kind. 1467662601 is maintained by the National Plan & Provider Enumeration System. The contents of Suresh Gundaji MBBS are for informational purposes only.