Individual
HAFSA MYEDAH CANTWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905
(501) 284-2511
(507) 284-0702
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
64342
MN
207R00000X
Internal Medicine Physician
LP04036
RI
Other
Enumeration date
06/15/2017
Last updated
08/09/2024
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