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Individual

DR. BIJU DANIEL KUNJUMMEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
11995 SINGLETREE LN STE 500, EDEN PRAIRIE, MN 55344-5349
(952) 595-1301
(612) 294-4903
Mailing address
11995 SINGLETREE LN STE 500, EDEN PRAIRIE, MN 55344-5349
(952) 595-1301
(612) 294-4903

Taxonomy

Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
OP60766680
WA
2085R0202X
Diagnostic Radiology Physician
25MB08156000
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
DO184015
OR
2085R0202X
Diagnostic Radiology Physician
DO4025
ME
2085R0202X
Diagnostic Radiology Physician
OP60766680
WA

Other

Enumeration date
09/26/2006
Last updated
03/20/2025
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