Individual
NABEEL BISHARA AILABOUNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
16830 198TH AVE NW, BIG LAKE CLINIC, BIG LAKE, MN 55309
(763) 263-7300
(763) 263-7334
Mailing address
16830 198TH AVE NW, BIG LAKE CLINIC, BIG LAKE, MN 55309
(763) 263-7300
(763) 263-7334
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
105377
MN
Other
Enumeration date
06/06/2008
Last updated
11/04/2020
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