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Individual

OM PRAKASH SHARMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MBBS

Contact information

Practice address
1027 WASHINGTON AVE, DETROIT LAKES, MN 56501-3409
(218) 847-5611
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-4222

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
61201
MN

Other

Enumeration date
10/28/2016
Last updated
10/30/2019
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