Individual
MICHAEL ANSUMANA PADMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3903 FALLGOLD PKWY N, MINNEAPOLIS, MN 55443-2087
(763) 218-4147
Mailing address
3903 FALLGOLD PKWY N, MINNEAPOLIS, MN 55443-2087
(763) 218-4147
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R-2463934
MN
Other
Enumeration date
04/09/2021
Last updated
04/09/2021
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