Individual
ADAM AFEY MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1701 AMERICAN BLVD E STE 16, BLOOMINGTON, MN 55425-1401
(612) 203-8376
Mailing address
1701 AMERICAN BLVD E STE 16, BLOOMINGTON, MN 55425-1401
(612) 203-8376
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
L532-110-983-310
MN
Other
Enumeration date
10/03/2023
Last updated
02/27/2024
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