Individual
MR. MUSTAFA HASSAN AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2910 PILLSBURY AVE S, 131, MINNEAPOLIS, MN 55408-2297
(952) 220-9158
(763) 412-8913
Mailing address
2910 PILLSBURY AVE S, MINNEAPOLIS, MN 55408-2297
(952) 220-9158
(612) 824-4487
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A143630100
—
MN
Enumeration date
11/17/2008
Last updated
02/07/2012
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