Organization
BRIDGE CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABDIFATAH ABDULLAHI MOHAMED (DIRECTOR)
(952) 492-1031
Entity
Organization
Contact information
Practice address
4310 N WOODGATE LN, EAGAN, MN 55122-2277
(952) 492-1031
Mailing address
4310 N WOODGATE LN, EAGAN, MN 55122-2277
(952) 492-1031
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
—
—
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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