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Organization
CENTER FOR EOSINOPHILIC ESOPHAGITIS AND FOOD ALLERGY
Active
Organization
CENTER FOR EOSINOPHILIC ESOPHAGITIS AND FOOD ALLERGY
Active
Other names
CEEFA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMED S YASSIN M.D. (PARTNER)
(320) 654-8266
Entity
Organization
Contact information
Practice address
1511 NORTHWAY DR STE 101, SAINT CLOUD, MN 56303-1262
(320) 654-8266
(320) 654-8481
Mailing address
1511 NORTHWAY DR STE 101, SAINT CLOUD, MN 56303-1262
(320) 654-8266
(320) 654-8481
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
—
NULL
207KA0200X
Allergy Physician
—
—
207RG0100X
Gastroenterology Physician
Primary
—
NULL
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
02/06/2014
Last updated
07/11/2014
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