Individual
DR. FADI BASSAM YAHYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
404 W FOUNTAIN ST, ALBERT LEA, MN 56007-2437
(507) 373-2384
Mailing address
404 W FOUNTAIN ST, ALBERT LEA, MN 56007-2437
(507) 373-2384
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0116019718
VA
207V00000X
Obstetrics & Gynecology Physician
Primary
54322
MN
Other
Enumeration date
10/25/2007
Last updated
09/29/2020
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