Individual
SOMENDRA VAISHNAV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
1200 SIXTH AVE N, CENTRACARE CLINIC, ST CLOUD, MN 56303-2735
(320) 251-2700
Mailing address
1200 SIXTH AVE N, CENTRACARE CLINIC, ST CLOUD, MN 56303-2735
(320) 251-2700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
232315
MA
207R00000X
Internal Medicine Physician
52720
MN
208M00000X
Hospitalist Physician
Primary
52720
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609043843
—
MN
Enumeration date
05/15/2008
Last updated
10/30/2015
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