Individual
MOHAMED E IDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2751 HENNEPIN AVE # 110, MINNEAPOLIS, MN 55408-1002
(952) 594-0532
(651) 203-7375
Mailing address
2751 HENNEPIN AVE # 110, MINNEAPOLIS, MN 55408-1002
(952) 594-0532
(651) 203-7375
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/05/2016
Last updated
01/05/2016
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