Individual
DR. MOHIT ALEX DEWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
635 BIELENBERG DR STE 220, WOODBURY, MN 55125-2625
(651) 998-9048
Mailing address
635 BIELENBERG DR STE 220, WOODBURY, MN 55125-2625
(651) 998-9048
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
53792
MN
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
53792
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
251592
STATE MEDICAL LICENSE
NY
Enumeration date
10/04/2007
Last updated
07/11/2019
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