Individual
MR. PRASAD MUNUSAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
711 DELMORE DR, ROSEAU, MN 56751
(218) 463-1365
(843) 839-2382
Mailing address
PO BOX 13780, GRAND FORKS, ND 58208
(843) 848-4640
(843) 839-2382
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
75609
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2021
Last updated
06/17/2024
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