Most Relevant Information
Provider Data
| NPI Number: | 1003251885 |
| Provider Name: | MYSOON AYUOB |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | 108617 |
Most Important Dates
| Enumeration Date: | 05/07/2013 |
| Last Updated: | 02/16/2021 |
Provider Practice Location
300 STATE AVE
FARIBAULT
MN
550216319
Practice Location Phone/Fax
| Phone: | 1507333330 |
| Fax: |
Provider Mailing Location
3850 PARK NICOLLET BLVD
ST LOUIS PARK
MN
554162527
Provider Mailing Phone/Fax
| Phone: | 9528831000 |
| Fax: |
Suggested EMR
Family Practice EMR