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Bontu Deressa
NPI 1720910086 · on the registry since 2026
Practice
- Address
- 3636 110th Ln Ne
Blaine, MN 55449 - Phone
- (763) 318-8981
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Also registered as
- 363A00000X
- Sex
- Male
- Record last updated
- 2026-06-01
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