Organization
CENTER FOR EOSINOPHILIC ESOPHAGITIS AND FOOD ALLERGY
Active
Other names
CEEFA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMED S YASSIN M.D. (PARTNER)
(320) 654-8266
Entity
Organization
Contact information
Practice address
1511 NORTHWAY DR STE 101, SAINT CLOUD, MN 56303-1262
(320) 654-8266
(320) 654-8481
Mailing address
1511 NORTHWAY DR STE 101, SAINT CLOUD, MN 56303-1262
(320) 654-8266
(320) 654-8481
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
—
—
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
02/06/2014
Last updated
07/11/2014
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