SOMU SUPPIAH

ST LOUIS PARK, MN
NPI1508205311
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0001X 
(Licence: MN  63501)
Additional Taxonomies2085R0001X 
(Licence: WI  5104-850)
Enumeration Date2013-06-14
Last Update Date2023-11-28
Business Address
SOMU SUPPIAH M.D.
6500 EXCELSIOR BLVD DEPT OF
ST LOUIS PARK, MN 55426
Phone number: 952-993-6032
Mailing Address
SOMU SUPPIAH M.D.
7401 METRO BLVD STE 210
EDINA, MN 55439-3086
Phone number: 952-920-4915
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