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Search › North Dakota › 208M00000X

Johanes Prawira, MD

NPI 1932337706 · on the registry since 2009

Practice

Address
300 N 7th St
Bismarck, ND 58501
Phone
(701) 323-6000
Fax
(701) 323-6719
Organisation at this address
Sanford West
Medcenter One
Sanford Bismarck
Sanford Bismarck
Sanford Bismarck
Inferred from a shared address, not stated in the registry.
Clinicians at this address
306

Additional practice sites

  • 6500 Excelsior Blvd, St Louis Park, MN

Registry record

Primary taxonomy
208M00000X
208M00000X
Also registered as
207Q00000X
207Q00000X
Licence states on file
MN, ND
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-02-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Dakota