Individual
BONSAN MOHAMED SADDIQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
9400 ZANE AVE N, MINNEAPOLIS, MN 55443-1814
(952) 826-8475
Mailing address
2804 SILVER LN NE APT 309, SAINT ANTHONY, MN 55421-3439
(763) 227-1033
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10448
MN
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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