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Organization

OBGYN CONSULTANTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MELVIN ASHFORD MD (MEDICAL DIRECTOR)
(651) 253-4089
Entity
Organization

Contact information

Practice address
10731 HAWTHORN TRL, WOODBURY, MN 55129-8767
(651) 253-4089
Mailing address
10731 HAWTHORN TRL, WOODBURY, MN 55129-8767
(651) 253-4089

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
43366
MN

Other

Enumeration date
06/02/2011
Last updated
06/02/2011
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