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NPI Code Detail

MEDICARE: MAGGIE ARRELL SANTOS MD

MEDICARE: MAGGIE ARRELL SANTOS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician78198MN

General Provider Information

NPI Number : 1184207102
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAGGIE ARRELL SANTOS MD
Provider Business Mailing Address
First Line : 3300 OAKDALE AVE N
Second Line :
City : ROBBINSDALE
State : MN
Zip : 55422-2900
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4209 WEBBER PKWY
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55412-1747
Country : US
Telephone Number : 763-581-2273
Fax Number : 763-581-5751
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2021
Last Update Date : 12/02/2024

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