Individual
DR. GRACE ABENA BIRAGO TOTOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422-2926
(763) 520-5200
Mailing address
15635 59TH PL N, PLYMOUTH, MN 55446-3677
(215) 876-5703
(888) 507-5033
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
53842
MN
207R00000X
Internal Medicine Physician
MD-42653
IA
208M00000X
Hospitalist Physician
53842
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H400253193
MEDICARE PTAN
MN
01
—
IB3492001
MEDICARE PTAN
IA
Enumeration date
05/01/2008
Last updated
06/13/2024
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