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Individual

VISHNUVARDHAN GANESAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
420 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0341
(612) 624-5621
Mailing address
420 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0341

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
71363
MN

Other

Enumeration date
04/03/2017
Last updated
11/12/2022
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