Individual
EYAS ABLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D,
Contact information
Practice address
1900 CENTRACARE CIR # 1300, CENTRACARE CLINIC WOMEN & CHILDREN, ALLERGY/IMMUNOLOGY, SAINT CLOUD, MN 56303-5000
(320) 654-3650
(320) 654-3647
Mailing address
1900 CENTRACARE CIR # 1300, CENTRACARE CLINIC WOMEN & CHILDREN, ALLERGY/IMMUNOLOGY, SAINT CLOUD, MN 56303-5000
(320) 654-3650
(320) 654-3647
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
108882
MN
207R00000X
Internal Medicine Physician
108882
MN
Other
Enumeration date
08/03/2011
Last updated
09/01/2022
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