Organization
PRIMEMED PLLC
Active
Organization
PRIMEMED PLLC
Active
Other names
Primemed PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHAMED ADAN PA-C (PHYSICIAN ASSISTANT)
(857) 492-6395
Entity
Organization
Contact information
Practice address
322 W LAKE ST STE 101, MINNEAPOLIS, MN 55408-3025
(857) 492-6395
(612) 465-4470
Mailing address
322 W LAKE ST STE 101, MINNEAPOLIS, MN 55408-3025
(857) 492-6395
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
01/18/2023
Last updated
05/15/2023
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