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Individual

DR. SATYA SRINIVAS GORTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
855 MANKATO AVE, WINONA, MN 55987-4868
(507) 457-4331
Mailing address
301 NORTHERN HILLS DR, SAINT CHARLES, MN 55972-1394
(507) 932-8153

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
48173-020
WI
207L00000X
Anesthesiology Physician
49990
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
278603000
MN
05
34923000
WI
Enumeration date
11/12/2006
Last updated
08/17/2009
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