Moustafa, Laura Woodbeck

Moustafa, Laura Woodbeck is an sole proprietor health care provider with primary practice located at 12720 Bass Lake Rd , Maple Grove MN 55369-6307. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Moustafa, Laura Woodbeck can be contacted via phone (763) 559-2861.

Contact Information

Primary practice address
12720 Bass Lake Rd Maple Grove MN 55369-6307
Phone: (763) 559-2861
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 61732 Minnesota
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1003236704
LBN Legal business name Moustafa, Laura Woodbeck
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 21st, 2014
Last updated May 11th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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