Individual
DR. FOUAD GEORGE AZZAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7101 NORTHLAND CIR N, SUITE 209, BROOKLYN PARK, MN 55428-1517
(763) 531-2030
(763) 531-2099
Mailing address
7101 NORTHLAND CIR N, SUITE 209, BROOKLYN PARK, MN 55428-1517
(763) 531-2030
(763) 531-2099
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
20093
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
067568700
—
MN
Enumeration date
02/23/2006
Last updated
02/03/2010
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