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Individual

DR. SARAH ANN NDYAJUNWOHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3033 EXCELSIOR BOULEVARD FAIRVIEW UPTOWN CLINIC, SUITE 275, MINNEAPOLIS, MN 55416
(612) 827-4751
(612) 827-7768
Mailing address
3033 EXCELSIOR BOULEVARD FAIRVIEW UPTOWN CLINIC, SUITE 275, MINNEAPOLIS, MN 55416
(612) 827-4751
(612) 827-7768

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
46059
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
46059
STATE LICENSE
MN
Enumeration date
05/03/2006
Last updated
03/22/2012
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