Individual
SANJAY K MISHRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1415 LILAC DR N STE 190, GOLDEN VALLEY, MN 55422-4544
(763) 267-8701
Mailing address
1415 LILAC DR N STE 190, GOLDEN VALLEY, MN 55422-4544
(763) 267-8701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
40500
MN
Other
Enumeration date
09/15/2006
Last updated
11/11/2019
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