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Individual

DR. ATUL K MISHRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1420 EAST COLLEGE DRIVE, MARSHALL, MN 56258
(507) 532-9631
(507) 532-1176
Mailing address
1521 CARLSON ST, MARSHALL, MN 56258-2626
(507) 532-1101
(507) 532-1137

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35763
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
573877600
MN
Enumeration date
03/03/2006
Last updated
08/18/2016
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