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Individual

AVISKAR SHARMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1300 ANNE ST NW, BEMIDJI, MN 56601-5103
(218) 751-5430
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
75997
MN
208M00000X
Hospitalist Physician
Primary
75977
MN

Other

Enumeration date
05/21/2021
Last updated
07/15/2024
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