Individual
MAYURI MUDGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(072) 842-5115
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
RL14596
ND
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
67008
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/16/2017
Last updated
11/02/2021
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