Dr. Adam Donald Ailabouni, M.D.
Family Medicine in Saint Paul, MN. Individual provider (NPI-1).
NPI number1780628461
StatusActive
Last updated in NPPESMar 10, 2021
Details
- NPI
- 1780628461
- Entity type
- Individual (NPI-1)
- Name
- Dr. Adam Donald Ailabouni
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 15, 2006
- Certification date
- Mar 10, 2021
- Last updated
- Mar 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 47598 | MN | Yes |
Practice location
Ufp - Phalen Village Clinic1414 Maryland Avenue East
Saint Paul, MN 55106
Phone 651-772-3461 · Fax 651-772-2605
Mailing address
Ufp - Phalen Village Clinic1414 Maryland Avenue East
Saint Paul, MN 55106
Phone 651-772-3461 · Fax 651-772-2605
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