Organization
ADMIKONE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHAMOUD MAHAMOUD (OWNER)
(612) 703-6594
Entity
Organization
Contact information
Practice address
100 SOUTH 5TH STREET, MINNEAPOLIS, MN 55414
(612) 703-6594
Mailing address
100 SOUTH 5TH STREET, MINNEAPOLIS, MN 55414
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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