Individual
VIKISHA A GOBERDHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4729 COUNTY ROAD 101, MINNETONKA, MN 55345-2634
(952) 974-3200
Mailing address
4729 COUNTY ROAD 101, MINNETONKA, MN 55345-2634
(952) 974-3200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10524
MN
Other
Enumeration date
01/30/2009
Last updated
01/30/2009
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