Individual
GAURAV SANJAY SURYAWANSHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0341
(612) 625-8999
Mailing address
420 DELAWARE ST SE, MMC 36, MINNEAPOLIS, MN 55455
(612) 625-8999
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
74423
MN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/16/2020
Last updated
05/17/2024
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