Individual
KEMINDA WIJESUNDERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
725 HAMLINE STREET, GRAND FORKS, ND 58203
(701) 780-6810
Mailing address
725 HAMLINE STREET, GRAND FORKS, ND 58203
(701) 780-6810
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
RL17386
ND
Other
Enumeration date
06/30/2021
Last updated
03/07/2023
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