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Individual
PRASHAN GUNASEKERA
Active
Individual
PRASHAN GUNASEKERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301107370
MI
207Q00000X
Family Medicine Physician
Primary
66946
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100067567
—
WI
05
—
1770848194
—
WI
01
—
K400388841
MEDICARE
WI
Enumeration date
07/11/2012
Last updated
10/13/2023
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