Individual
MOUAFFAA TELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426-4702
(952) 993-5000
Mailing address
6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426-4702
(952) 993-5000
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
69169
MN
Other
Enumeration date
04/10/2017
Last updated
09/03/2020
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