Individual provider · NPI-1

Andrea V Abcejo, MD

Family Medicine · Byron, MN

NPI number1700143153
StatusActive
Last updated in NPPESOct 12, 2018

Details

NPI
1700143153
Entity type
Individual (NPI-1)
Name
Andrea V Abcejo
Credential
MD
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 23, 2012
Last updated
Oct 12, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine56761MNYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

846 High Point Dr Ne
Byron, MN 55920-4407

Phone 507-775-2128

Mailing address

846 High Point Dr Ne
Byron, MN 55920-4407

Phone 507-775-2128

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