Individual
WALEED RADWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14540 FLORISSANT PATH, APPLE VALLEY, MN 55124-4535
(612) 708-7586
Mailing address
14540 FLORISSANT PATH, APPLE VALLEY, MN 55124-4535
(612) 708-7586
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
BC693555
MN
Other
Enumeration date
01/03/2018
Last updated
01/03/2018
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