Organization
INDIGO FOUNDATION INC
Active
Organization
INDIGO FOUNDATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HIBO OMAR ARTAN (OWNER)
(612) 703-5479
Entity
Organization
Contact information
Practice address
510 25TH AVE N STE B1-119, SAINT CLOUD, MN 56303-3222
(612) 703-5479
Mailing address
510 25TH AVE N STE B1-119, SAINT CLOUD, MN 56303-3222
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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