Individual
MOHAMED ALFATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
280 SMITH AVE N STE 220, SAINT PAUL, MN 55102-2459
(651) 241-8295
Mailing address
280 SMITH AVE N STE 220, SAINT PAUL, MN 55102-2459
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
68937
MN
Other
Enumeration date
04/24/2017
Last updated
04/30/2021
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