Individual
DR. PRASANNA SURYADEVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
916 SAINT PETER ST, DELANO, MN 55328-2813
(952) 442-7800
Mailing address
916 SAINT PETER ST, DELANO, MN 55328-2813
(952) 442-7800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
52033
MN
Other
Enumeration date
05/28/2009
Last updated
11/15/2013
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