Individual
DR. VIJAY NEELAMEGAM PREMNATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
810 N WELO ST, TIOGA, ND 58852
(701) 664-3305
(701) 664-3300
Mailing address
810 N WELO ST, TIOGA, ND 58852
(701) 664-3305
(701) 664-3300
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
11852
ND
Other
Enumeration date
07/24/2007
Last updated
04/04/2022
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