Mpho P Sebonego M.D.

NPI 1477709822 - Internal Medicine - 207R00000X

NPI Details
NPI 1477709822
Gender Male
Enumeration Date 08/15/2008
Last Updated 12/01/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
1833 2ND AVE S - MAIL STOP 39300A
ANOKA MN, 55303-2432, US
Phone (763) 587-4400
Fax (763) 587-4205
Business Location
8170 33RD AVE S
MINNEAPOLIS MN, 55425-4516, US
Phone (952) 883-5375
Fax (763) 587-4205
Taxonomy Code 207R00000X
License State Minnesota
License Number 50968
Remove 1477709822 NPI Number

According to our database, Dr. Mpho P Sebonego M.D. NPI is 1477709822, taxonomy code is 207R00000X and license number is 50968, license state is located at Minnesota. Mpho P Sebonego M.D. physically located at 1833 2nd Ave S - Mail Stop 39300a, Anoka MN, 55303-2432. NPI Number Mpho P Sebonego M.D. has the Individual type.

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1477709822 NPI number is provided on an as is basis without warranty of any kind. 1477709822 is maintained by the National Plan & Provider Enumeration System. The contents of Mpho P Sebonego M.D. are for informational purposes only.