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Individual

ELWASEILA HAMDOUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2450 RIVERSIDE AVE, EAST BLDG., MB 677, MINNEAPOLIS, MN 55454-1450
(612) 624-5409
(612) 626-5262
Mailing address
315 N SAN SABA STE 1135, SAN ANTONIO, TX 78207-3255

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
58041
MN
208000000X
Pediatrics Physician
772-L
MS
2080P0205X
Pediatric Endocrinology Physician
Primary
R9770
TX

Other

Enumeration date
07/03/2010
Last updated
10/01/2021
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