Individual
ABDISAMAD KHALIF ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5501 NICOLLET AVE APT 205, MINNEAPOLIS, MN 55419-1946
(206) 708-0478
Mailing address
5501 NICOLLET AVE APT 205, MINNEAPOLIS, MN 55419-1946
(206) 708-0478
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
MN
Other
Enumeration date
04/06/2023
Last updated
04/11/2023
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