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Individual

DR. BRIAN KIRTI MUTHYALA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 672-6000
Mailing address
1700 UNIVERSITY AVE W FL 6, SAINT PAUL, MN 55104-3727

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
54967
MN
208000000X
Pediatrics Physician
54967
MN
208M00000X
Hospitalist Physician
Primary
54967
MN

Other

Enumeration date
03/26/2009
Last updated
08/11/2023
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