# ISUROON SPECIALTY CARE CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ISUROON
- **Other names:** Isuroon
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1265003420
- **Legal business name:** ISUROON
- **Authorized official:** FARTUN WELI (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (612) 866-2731

## Contact information

- **Practice address:** 1600 E LAKE ST, MINNEAPOLIS, MN 55407-1846
- **Practice address phone:** (612) 866-2731
- **Mailing address:** 1600 E LAKE ST, MINNEAPOLIS, MN 55407-1846
- **Mailing address phone:** (612) 866-2731

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/08/2021
- **Last updated:** 07/08/2021