Individual
ANISAA HUSEIN ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3405 3RD ST N, SAINT CLOUD, MN 56303-4015
(315) 395-0766
Mailing address
2392 VALLEY VIEW RD, SHAKOPEE, MN 55379-9419
(315) 395-0766
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15319
MN
Other
Enumeration date
06/20/2023
Last updated
09/17/2025
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