Individual
DR. SHAWN VASOO SUSHILAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125053720
IL
207RI0200X
Infectious Disease Physician
Primary
55815
MN
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
106210
MN
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
55815
MN
Other
Enumeration date
08/07/2008
Last updated
06/28/2013
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