Individual
RUWAN R DISSANAYAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 863-4000
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 863-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
50046
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34794200
—
WI
Enumeration date
02/05/2007
Last updated
04/24/2024
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