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Individual

DR. SRINIVASAN RAMANUJA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1421 PREMIER DR, MANKATO CLINIC WICKERSHAM, MANKATO, MN 56001
(507) 625-1811
Mailing address
PO BOX 8674, 1230 E MAIN ST MANKATO CLINIC LTD, MANKATO, MN 56001
(507) 625-1811

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
49842
MN
207K00000X
Allergy & Immunology Physician
A88016
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
168109
UCARE
MN
01
1720184849
AMERICA'S PPO
MN
01
236D3RA
BCBS
MN
05
854903000
MN
01
HP83054
HEALTH PARTNERS
MN
01
NA2951051979
PREFERRED ONE
MN
Enumeration date
09/16/2006
Last updated
07/15/2020
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