Individual
ABIEL KOFFI MADJE ADJAGODO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
895 7TH ST E, SAINT PAUL, MN 55106-3871
(763) 377-5545
(651) 602-7513
Mailing address
3297 235TH AVE NW, SAINT FRANCIS, MN 55070-9630
(763) 377-5545
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14697
MN
Other
Enumeration date
09/03/2021
Last updated
06/17/2024
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