Individual
SIMON-NOEL NDELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 365-1000
Mailing address
1700 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3727
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
77799
MN
208000000X
Pediatrics Physician
S479125347520
MN
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
77799
MN
Other
Enumeration date
04/03/2018
Last updated
08/14/2024
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