Individual
DR. CHAMINDA RASIKA DISSANAYAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
WMU SCHOOL OF MEDICINE, 1000 OAKLAND DR, KALAMAZOO, MI 49008
(269) 337-4400
Mailing address
1000 OAKLAND DR, KALAMAZOO, MI 49008-1282
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4351046351
MI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
4351046351
MI
Other
Enumeration date
07/09/2020
Last updated
07/16/2020
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