Individual
EZZAT AHMED MOUSSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
114 WEST 3RD STREET, MONTICELLO, MN 55362
(763) 295-3100
(763) 295-6196
Mailing address
114 WEST 3RD STREET, MONTICELLO, MN 55362
(763) 295-3100
(763) 295-6196
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22484
MN
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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