Individual
SHIVALI DEVGON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
711 DELMORE DR, ROSEAU, MN 56751-1534
(218) 463-1365
(218) 463-3928
Mailing address
711 DELMORE DR, ROSEAU, MN 56751-1534
(218) 463-1365
(218) 463-3928
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
56155
MN
Other
Enumeration date
06/30/2010
Last updated
03/31/2014
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