Individual
SARBANI PODDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6300 WEDGWOOD RD N, MAPLE GROVE, MN 55311-3647
(763) 551-1215
Mailing address
6231 JUNEAU LN N, MAPLE GROVE, MN 55311-4165
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
118731
MN
Other
Enumeration date
03/29/2020
Last updated
03/29/2020
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