Individual
NIDHI GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
510 2ND ST SE, PINE CITY, MN 55063-1704
(320) 629-6721
Mailing address
510 2ND ST SE, PINE CITY, MN 55063-1704
(320) 629-6721
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301089993
MI
207R00000X
Internal Medicine Physician
Primary
52785
MN
Other
Enumeration date
10/15/2007
Last updated
12/15/2021
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