Omomo, Michael

Omomo, Michael is an sole proprietor health care provider with primary practice located at 7400 Metro Blvd Ste 215 , Edina MN 55439-2321. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Omomo, Michael can be contacted via phone (631) 533-2990.

Contact Information

Primary practice address
7400 Metro Blvd Ste 215 Edina MN 55439-2321
Phone: (631) 533-2990
Fax: (651) 666-1396
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 7837 Minnesota

Profile Details

NPI number 1427657139
LBN Legal business name Omomo, Michael
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 22nd, 2020
Last updated Mar 31st, 2026 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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