Individual
DR. MAJA VISEKRUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1690 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3723
(651) 232-6788
Mailing address
1690 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3723
(651) 232-6788
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
52722
MN
208000000X
Pediatrics Physician
52722
MN
Other
Enumeration date
06/26/2007
Last updated
03/08/2011
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