NPI 1083094502

Tuoquellie G Niagawoe

Practitioner Driver Brooklyn Center, MN

Practice location

Address: 7001 Dupont Ave N, Brooklyn Center, MN 55430-1211
Phone: (612) 387-1636
Fax: (651) 344-0590

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 814789800024 (MN)

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Registry record

NPI: 1083094502
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Jun 2015
Record last updated: 1 Jun 2015

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.