Individual
MICHAEL V PERSAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
101 TOWER RD, SUITE 105, DAKOTA DUNES, SD 57049
(712) 255-1414
Mailing address
101 TOWER RD, SUITE 105, DAKOTA DUNES, SD 57049
(712) 255-1414
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01980
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0223974
—
IA
Enumeration date
04/10/2006
Last updated
12/17/2007
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