Individual
HAZEM M SEDRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
213 LABREE AVE N STE 207, THIEF RIVER FALLS, MN 56701-2022
(218) 683-5137
(218) 683-5413
Mailing address
213 LABREE AVE N STE 207, THIEF RIVER FALLS, MN 56701-2022
(218) 683-5137
(218) 683-5413
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
47271
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0119356
MEDICA #
MN
05
—
13233
—
MN
01
—
137012
UCARE #
MN
01
—
2211190
AMERICA'S PPO/ARAZ #
MN
01
—
24944
NDBS #
MN
01
—
37639
LHS/BANNERHEALTH #
MN
05
—
590610500
—
MN
01
—
910S0SE
MNBS #
MN
01
—
DA9021042392
PREFERRED ONE #
MN
01
—
HP47445
HEALTHPARTNERS #
MN
Enumeration date
06/23/2006
Last updated
04/01/2013
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