Individual
EHTAISHAM UDDIN MOHAMMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
601 W CHANDLER ST, ARLINGTON, MN 55307-2127
(507) 964-2271
Mailing address
1825 RED OAK RDG, CARVER, MN 55315-4568
(269) 330-0013
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49338
MN
Other
Enumeration date
05/25/2007
Last updated
02/15/2010
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