Individual
DR. ABY ZACHARIAH PHILIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
523 N 3RD ST, BRAINERD, MN 56401-3054
(218) 829-2861
(218) 828-3103
Mailing address
523 N 3RD ST, BRAINERD, MN 56401-3054
(218) 829-2861
(218) 828-3103
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
56212
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/13/2007
Last updated
01/08/2016
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