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
LAST UPDATED 2024-04-14 23:07:09 UTC
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