Individual
PANJINI M SIVANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3001 SANFORD PKWY, THIEF RIVER FALLS, MN 56701
(218) 683-2725
Mailing address
PO BOX 2010, FARGO, ND 58122-2484
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
32058
MN
208VP0014X
Interventional Pain Medicine Physician
Primary
32058
MN
208VP0014X
Interventional Pain Medicine Physician
4806
ND
Other
Enumeration date
07/06/2006
Last updated
03/25/2022
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