License holder summary

Gautam Mukund Phadke is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Gautam Mukund Phadke is 6155 Silverleaf Dr S, Fargo, ND 58104. This doctor license is current. The license was granted 09/10/2011 and expired on 10/31/2015.

Department of Safety and Professional Services

Board of Medical Practice

Gautam Mukund Phadke
Medical - Physician And Surgeon
License number
54550
Date granted
09/10/2011
Date expires
10/31/2015
Class
Medical - Physician And Surgeon
Status
Active
Address
6155 Silverleaf Dr S, Fargo, ND 58104
doctorsminnesota.org
ID 22278442
LAST UPDATED 2024-04-14 23:07:09 UTC

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