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Individual

DR. CEPHAS MAWUENA AGBEH

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4000 CENTRAL AVE NE, COLUMBIA HEIGHTS, MN 55421-2968
(736) 572-5710
(763) 782-8100
Mailing address
6401 UNIVERSITY AVE NE, FRIDLEY, MN 55432-4341
(736) 572-5710
(763) 571-3008

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
45505
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0703414
MEDICA NUMBER
MN
01
0704607
MEDICA NUMBER
MN
01
1034132
PREFERRED ONE
MN
01
172587
UCARE
MN
01
1836742
AMERICA'S PPO
MN
01
365J2AG
BCBS NUMBER
MN
01
7007485
AETNA
MN
01
HP38107
HEALTHPARTNERS
MN
Enumeration date
03/31/2006
Last updated
07/08/2007
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