Individual
DR. DENNIS JOEL ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13005 38TH PLACE NORTH, PLYMOUTH, MN 55441
(612) 381-6816
(763) 898-1040
Mailing address
13005 38TH PLACE NORTH, PLYMOUTH, MN 55441
(612) 381-6816
(763) 488-4105
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23313
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004102543
AETNA
FL
01
—
4308850
CIGNA
FL
01
—
47660
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/17/2006
Last updated
11/20/2018
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