Individual
DR. FATIMA R. JIWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBCHB
Contact information
Practice address
3366 OAKDALE AVE N, #501, ROBBINSDALE, MN 55422-2948
(763) 588-0758
(763) 588-8505
Mailing address
3366 OAKDALE AVE N, #501, ROBBINSDALE, MN 55422-2948
(763) 588-0758
(763) 588-8505
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
43176
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
737667700
—
MN
Enumeration date
03/02/2006
Last updated
09/22/2011
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