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PRASHAN GUNASEKERA MD

Individual Provider (NPI-1) Active

Family Medicine

Provider Information

NPI Number
1770848194
Provider Type
Individual Provider (NPI-1)
Credentials
MD
Status
Active

Contact & Location

Address
2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI, 530813129
Phone
(920) 457-4461
Fax
(920) 459-1483

Specialties & Taxonomies

Family Medicine License: MI #4301107370
Family Medicine Primary License: WI #66946

All Addresses

LOCATION

2414 KOHLER MEMORIAL DR

SHEBOYGAN, WI, 530813129

(920) 457-4461

MAILING

PO BOX 735044

CHICAGO, IL, 606735044