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Contact Information

BRENDA L ABRAHAM, MD
2500 COMO AVENUE
SAINT PAUL, MN55108-1460
 Phone: 651-641-6200
 Fax: 651-641-6295
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for BRENDA L ABRAHAM · (Female)

NPI Number 1255302642
Status Active
Credentials MD
Entity Individual
Enumeration date 02/01/2006
Last updated 06/14/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 33664
  • MN Medicaid 384378500
Hospital affiliation(s)
  • REGIONS HOSPITAL - (Acute Care)
    640 JACKSON STREET
    SAINT PAUL, MN 55101
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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