Individual
MR. ABOLFAZL KOWSARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
9512 PINEVIEW LN N, MAPLE GROVE, MN 55369-7135
(763) 923-5608
Mailing address
9512 PINEVIEW LN N, MAPLE GROVE, MN 55369-7135
(763) 923-5608
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6617
MN
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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