Individual
MARYAN MOHAMED AIDEED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 CENTRACARE CIR, SAINT CLOUD, MN 56303-5000
(320) 252-2422
Mailing address
11001 BREN RD E UNIT 709, HOPKINS, MN 55343-4446
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/02/2021
Last updated
08/26/2024
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