NPI 1003251885

Mysoon Ayuob

Practitioner Family Medicine Physician Faribault, MN

Practice location

Address: 300 State Ave, Faribault, MN 55021-6319
Phone: (150) 733-3330
Mailing address: 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527

Registered specialties (3)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 60020 (MN)

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Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 108617 (MN)

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Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 4301104105 (NY)

Registry record

NPI: 1003251885
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 May 2013
Record last updated: 16 Feb 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.