Ebtisam Wais
NPI #1013685098 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1013685098
- Entity Type
- Individual
- Name
- Ebtisam Wais
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Sep 2, 2021
- Last Updated
- Apr 4, 2024
Practice Location
- Address
- 640 JACKSON ST
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55101-2502
- Phone
- (651) 254-3456
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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