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Individual

FARAH YUSUF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426-4702
(952) 993-5000
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35129133
OH
207R00000X
Internal Medicine Physician
Primary
71117
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0192704
OH
Enumeration date
04/17/2013
Last updated
05/25/2022
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