Individual provider · Type 1 NPI

Anaas Moncef Mergoum, MD

Student in an Organized Health Care Education/Training Program · St. Paul, MN

NPI number 1679190540 Active

Practice location

580 Rice St
St. Paul, MN 55103-2148

Call (651) 227-6551 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1679190540

Anaas Moncef Mergoum, MD's National Provider Identifier is 1679190540, issued on Jun 26, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Paul, MN. The record was last updated on Jun 20, 2024.