Individual
VANITA MISHRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-4786
Mailing address
900 W CLAIREMONT AVE, EAU CLAIRE, WI 54701-6122
(715) 717-4131
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
40501
MN
Other
Enumeration date
09/15/2006
Last updated
12/02/2021
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