MEVAN NANDAKA WIJETUNGA

GRAND FORKS, ND
NPI1457308645
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology
(Licence: MN  48798)
Additional Taxonomies207R00000X Internal Medicine
(Licence: MN  48798)
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: MN  48798)
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: DC  MDE33460)
207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology
(Licence: ND  11101)
Enumeration Date2006-05-31
Last Update Date2020-12-22
Business Address
MEVAN NANDAKA WIJETUNGA MD
1300 S COLUMBIA RD
GRAND FORKS, ND 58201
Phone number: 701-780-6236
Mailing Address
MEVAN NANDAKA WIJETUNGA MD
2401 DEMERS AVE
GRAND FORKS, ND 58201
Phone number: 701-780-1891