Individual
DR. MOHAMMAD TARIQ FAREED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3455 PLYMOUTH BLVD, SUITE#: 200, PLYMOUTH, MN 55447-5544
(763) 657-1044
(952) 295-0676
Mailing address
3455 PLYMOUTH BLVD STE 200, PLYMOUTH, MN 55447-1551
(763) 657-1044
(952) 295-0676
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
47197
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
423978400
—
MN
Enumeration date
11/17/2006
Last updated
12/28/2022
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