Individual
DR. SAMY MOKHTAR MAKLAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
11850 BLACKFOOT ST NW STE 300, COON RAPIDS, MN 55433-2772
(763) 236-9000
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
108516
MN
208600000X
Surgery Physician
Primary
41263
IA
208600000X
Surgery Physician
R-8389
IA
Other
Enumeration date
07/03/2008
Last updated
11/09/2020
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