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Dr. Maryam Lee Moghaddam, DO
Obstetrics & Gynecology Physician in Maple Grove, Minnesota
NPI 1811958424

Maryam Lee Moghaddam is a Obstetrics & Gynecology Physician based in Maple Grove, MN. Maryam Lee Moghaddam practices in Maple Grove, MN and has the professional credentials of DO. The NPI Number for Maryam Lee Moghaddam is 1811958424 and holds a License No. 31579 (Minnesota).

The current practice location address for Maryam Lee Moghaddam is 14500 99Th Ave N, Maple Grove, MN and can be reached out via phone at 763-898-1000. You can also correspond with Maryam Lee Moghaddam through the mailing address at 16973 WEAVER LAKE DR, MAPLE GROVE, MN - 55311-1435 (mailing address contact number: 612-670-5214).

Location: 14500 99Th Ave N, Maple Grove, MN, 55311-1435
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811958424
Provider Name
Maryam Lee Moghaddam
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
14500 99Th Ave N, Maple Grove, MN, 55311-1435
Phone Number
763-898-1000
Fax Number
Provider Enumeration Date
03/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
309397200 05 MN
institution
Provider Business Practice Location Address Details
Address
14500 99Th Ave N
City
Maple Grove
State
Minnesota
Zip
55369-4730
Phone Number
763-898-1000
Fax Number
person
Provider Business Mailing Address Details
Address
14500 99Th Ave N
City
Maple Grove
State
Minnesota
Zip
55369-4730
Phone Number
763-898-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
31579 (Minnesota)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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