Individual provider · NPI-1

Dr. Adwoa Mavis Ansu, MD

Family Medicine · Woodbury, MN

NPI number1972123438
StatusActive
Last updated in NPPESMay 16, 2025

Details

NPI
1972123438
Entity type
Individual (NPI-1)
Name
Dr. Adwoa Mavis Ansu
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Apr 24, 2020
Certification date
May 16, 2025
Last updated
May 16, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine75621MNYes

Practice location

8675 Valley Creek Rd
Woodbury, MN 55125-2337

Phone 651-241-3000

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321

Phone 612-262-9000

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