Organization
MINNESOTA BROTHERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDALLA DHUNKAL MR. (DIRECTOR)
(612) 414-7739
Entity
Organization
Contact information
Practice address
5430 VILLAGE CREEK PKWY N, BROOKLYN PARK, MN 55443-3153
(952) 484-1322
Mailing address
5430 VILLAGE CREEK PKWY, BROOKLYN PARK, MN 55443
(952) 484-1322
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3967699-2
SOS CORP CHARTER # MN
MN
Enumeration date
09/17/2010
Last updated
09/17/2010
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