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Individual
JOHANES I. PRAWIRA
Active
Individual
JOHANES I. PRAWIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
12013
ND
207Q00000X
Family Medicine Physician
61703
MN
208M00000X
Hospitalist Physician
Primary
12013
ND
Other
Enumeration date
06/30/2009
Last updated
02/10/2023
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