Individual
YAZDAAN JUMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1495 COUNTY ROAD 101 N, PLYMOUTH, MN 55447-3078
(763) 504-6500
Mailing address
1495 COUNTY ROAD 101 N, PLYMOUTH, MN 55447-3078
(763) 504-6500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
64780
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2016
Last updated
03/24/2021
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