Kumudinie C Fonseka, MD

NPI #1376653089 in St Clair Shores, Michigan

Provider Information

NPI Number: 1376653089
Entity Type: Individual
Name: Kumudinie C Fonseka, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Aug 30, 2006
Last Updated: Oct 22, 2012

Practice Location

Address: 21327 HARPER AVENUE
Address 2: SUITE D
City: St Clair Shores
State: Michigan
ZIP Code: 48080
Phone: (586) 772-2300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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