Individual
MIDHAGA G BEKELCHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12357 5TH ST NE, BLAINE, MN 55434-2644
(763) 316-8467
Mailing address
12357 5TH ST NE, BLAINE, MN 55434-2644
(763) 316-8467
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
234239-7
MN
Other
Enumeration date
07/14/2019
Last updated
07/15/2019
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