Individual
AHMED HASSAN OMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1312 1/2 7TH STREET NW, SUITE 200, ROCHESTER, MN 55901
(507) 292-0113
(507) 292-7964
Mailing address
1312 1/2 7TH STREET NW, SUITE 200, ROCHESTER, MN 55901
(507) 292-0113
(507) 292-7964
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A304145100
PERSONAL CARE PROVIDER (PCA)
MN
Enumeration date
08/13/2009
Last updated
08/13/2009
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