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Laura Moustafa
NPI 1003236704 · on the registry since 2014 · sole proprietor
Practice
- Address
- 12720 Bass Lake Rd
Maple Grove, MN 55369 - Phone
- (763) 559-2861
- Organisation at this address
- Children'S Clinic Network
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 16
Registry record
- Primary taxonomy
- Pediatrics Physician
208000000X
- Also registered as
- Student in an Organized Health Care Education/Training Program
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-05-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota