Individual
DOMINIC JAMIL HADDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1575 BEAM AVE, MAPLEWOOD, MN 55109-1126
(651) 232-7000
Mailing address
1575 BEAM AVE, MAPLEWOOD, MN 55109-1126
(651) 232-7000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
74531
MN
Other
Enumeration date
04/07/2020
Last updated
07/27/2023
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