Individual
DR. FARDOWS OMAR SALIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3033 EXCELSIOR BLVD STE 275, MINNEAPOLIS, MN 55416-5149
(612) 827-4751
Mailing address
3033 EXCELSIOR BLVD STE 275, MINNEAPOLIS, MN 55416-5149
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125065806
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2014
Last updated
03/17/2018
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