IndividualActive
Faduma Addow
NPI 1154052173 · General Practice Physician · Saint Paul, MN
Provider details
- NPI number
- 1154052173
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- 0-657-594-8 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1821 University Ave W Ste 181
Saint Paul, MN 55104-2879
Phone: (161) 225-9771
Fax: (612) 259-7889
Approximate (ZIP-level) locationGet directions
Mailing address
1821 University Ave W Ste 181
Saint Paul, MN 55104-2879
Registry dates
- Enumerated
- 2022-06-21
- Last updated
- 2022-06-21
- Certified
- 2022-06-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.