Individual
VAISHNAVI SUBRAMANIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3931 LOUSIANA AVE S, ST LOUIS PARK, MN 55426
(612) 239-7880
Mailing address
4936 EMERSON AVE S, MINNEAPOLIS, MN 55419-5334
(612) 239-7880
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
1187
MN
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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