Individual
FOUAD BACHOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-4105
(612) 904-4644
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
44903
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
074782300
—
MN
Enumeration date
05/18/2006
Last updated
10/10/2012
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