Organization
MIDWAY FAMILY CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOHANNES GEBRE (PRESIDENT)
(651) 644-2273
Entity
Organization
Contact information
Practice address
1821 UNIVERSITY AVE W, SUITE S-206, SAINT PAUL, MN 55104-2801
(651) 644-2273
(651) 659-2273
Mailing address
1821 UNIVERSITY AVE W, SUITE S-206, SAINT PAUL, MN 55104-2801
(651) 644-2273
(651) 659-2273
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/31/2006
Last updated
08/22/2020
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