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Individual

UPALI P ATURALIYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5007 MATTERHORN DR, DULUTH, MN 55811-3812
(218) 720-3553
(218) 786-9375
Mailing address
5007 MATTERHORN DR, DULUTH, MN 55811-3812
(218) 720-3553
(218) 786-9375

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
21836
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
430883200
MN
Enumeration date
06/20/2006
Last updated
06/17/2010
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