Individual
DR. BASSIM SAMADANI BIRKLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D, M.P.H
Contact information
Practice address
BROADWAY CLINIC, 1020 WEST BROADWAY, MINNEAPOLIS, MN 55411
(612) 302-8200
(612) 521-4725
Mailing address
1020 W BROADWAY AVE, MINNEAPOLIS, MN 55411-2504
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/30/2013
Last updated
05/19/2014
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