Teta Doe

NPI #1063178630 in Moorhead, Minnesota

Provider Information

NPI Number: 1063178630
Entity Type: Individual
Name: Teta Doe
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Nov 9, 2021
Last Updated: Nov 9, 2021

Practice Location

Address: 1505 30TH AVE S
City: Moorhead
State: Minnesota
ZIP Code: 56560-5149
Phone: (218) 287-4338

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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