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Individual

EDWARD LEVAN ESAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5605 WASHBURN AVE S, MINNEAPOLIS, MN 55410-2634
(612) 803-9824
Mailing address
5605 WASHBURN AVE S, MINNEAPOLIS, MN 55410-2634
(612) 803-9824

Taxonomy

Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary

Other

Enumeration date
09/01/2025
Last updated
09/01/2025
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