Organization
MAHMOOD AMELI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHMOOD AMELI D.C. (OWNER)
(952) 895-5903
Entity
Organization
Contact information
Practice address
10880 175TH CT W, SUITE 120, LAKEVILLE, MN 55044-8781
(952) 898-4900
(952) 898-7626
Mailing address
3404 E BURNSVILLE PKWY, BURNSVILLE, MN 55337-3488
(952) 898-5903
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1237
MN
Other
Enumeration date
04/09/2009
Last updated
04/09/2009
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