Individual
MR. MOHAMED MATAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2111 21ST AVE S APT 16, MINNEAPOLIS, MN 55404-2279
(952) 994-4844
Mailing address
2111 21ST AVE S APT 16, MINNEAPOLIS, MN 55404-2279
(952) 994-4844
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/12/2015
Last updated
11/12/2015
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