Individual
SEAN M MULUBISHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2529 132ND LN NW, COON RAPIDS, MN 55448-1205
(763) 340-2330
Mailing address
2529 132ND LN NW, COON RAPIDS, MN 55448-1205
(763) 340-2330
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
—
MN
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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