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Individual

EVANS O MAGAMBO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3001 SANFORD PKWY, THIEF RIVER FALLS, MN 56701-2700
(218) 683-4135
(218) 681-5614
Mailing address
3699 CAVALLO PASS, CHASKA, MN 55318-3602
(612) 816-8815

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01092884A
IN
207P00000X
Emergency Medicine Physician
Primary
54956
MN
207Q00000X
Family Medicine Physician
1105182A
IN
207Q00000X
Family Medicine Physician
54956
MN

Other

Enumeration date
07/16/2009
Last updated
07/15/2026
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