Individual
DR. SENAYET GOITOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
464 2ND ST STE 204, EXCELSIOR, MN 55331-2015
(612) 787-8408
(612) 567-8935
Mailing address
8745 DAVENPORT ST NE, BLAINE, MN 55449-4229
(612) 499-2098
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
12484
MN
363L00000X
Nurse Practitioner
Primary
12484
MN
363LF0000X
Family Nurse Practitioner
12484
MN
Other
Enumeration date
02/05/2025
Last updated
04/27/2025
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