Individual
WIGDAN HASSAN ELTAYEB FARAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
66877
MN
207RP1001X
Pulmonary Disease Physician
Primary
66877
MN
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
66877
MN
Other
Enumeration date
03/24/2017
Last updated
06/30/2022
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