Individual
MR. OSMAN ISAAK AHMED SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1801 E LAKE ST, MINNEAPOLIS, MN 55407-1835
(612) 226-8825
Mailing address
1801 E LAKE ST, MINNEAPOLIS, MN 55407-1835
(612) 226-8825
(612) 315-3146
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
172A00000X
MN
Other
Enumeration date
01/07/2016
Last updated
01/07/2016
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