Individual
AMER AZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15650 CEDAR AVE S, APPLE VALLEY, MN 55124-7283
(952) 997-4100
Mailing address
1101 9TH ST N, VIRGINIA, MN 55792-2329
(218) 741-0150
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
47845
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
497453100
—
MN
Enumeration date
11/28/2006
Last updated
04/22/2019
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