Provider Demographics
NPI:1821712548
Name:ADZEW-BOSSMAN, MICHELLE NANA ABA (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:NANA ABA
Last Name:ADZEW-BOSSMAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:SANFORD HEALTH 801 BROADWAY NORTH
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58122-0170
Mailing Address - Country:US
Mailing Address - Phone:701-234-6076
Mailing Address - Fax:701-234-7230
Practice Address - Street 1:737 BROADWAY N
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58122-0170
Practice Address - Country:US
Practice Address - Phone:701-234-6076
Practice Address - Fax:701-234-7230
Is Sole Proprietor?:No
Enumeration Date:2022-09-27
Last Update Date:2022-12-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ND18722207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine