Individual
FEISAL KOWLE OMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
912 E 24TH ST, C115, MINNEAPOLIS, MN 55404-3869
(612) 644-7896
Mailing address
912 E 24TH ST, C115, MINNEAPOLIS, MN 55404-3869
(612) 644-7896
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9950510
MINNESOTACARE
MN
Enumeration date
05/06/2009
Last updated
04/12/2010
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