Individual
ZAKARIA FARAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1108 VILLAGE RD, CHASKA, MN 55318-1361
(651) 318-5453
Mailing address
2800 E ENTERPRISE AVE STE 333, APPLETON, WI 54913-7889
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
F000-078975-100
MN
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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