Individual
AMANUEL ZEWDIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8450 SEASONS PKWY, WOODBURY, MN 55125-4402
(651) 702-5300
Mailing address
580 RICE ST, SAINT PAUL, MN 55103-2148
(651) 227-6551
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
70037
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2020
Last updated
06/30/2023
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