Individual
EPHRAIM GHIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9055 SPRINGBROOK DR NW, COON RAPIDS, MN 55433-5841
(763) 780-9155
Mailing address
PO BOX 43, MR 10809, MINNEAPOLIS, MN 55440-0043
(612) 262-4813
(612) 262-4194
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
43654
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
507447900
—
MN
Enumeration date
03/29/2006
Last updated
03/30/2021
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