Individual
MICHAEL OMOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7400 METRO BLVD STE 215, EDINA, MN 55439-2321
(631) 533-2990
(651) 666-1396
Mailing address
7400 METRO BLVD STE 215, EDINA, MN 55439-2321
(631) 533-2990
(651) 666-1396
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
7837
MN
Other
Enumeration date
10/22/2020
Last updated
03/31/2026
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