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Individual

PAUL ALLAN ABRAHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
401 PHALEN BLVD, MAIL STOP 41103C, ST PAUL, MN 55101-5302
(651) 254-7850
(651) 254-7857
Mailing address
401 PHALEN BLVD, MS 41103C, SAINT PAUL, MN 55130-5302
(651) 254-7850
(651) 254-7857

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
22591
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
043870700
MN
Enumeration date
02/22/2006
Last updated
08/14/2008
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