Individual
GULLED AHMED ABDIRISAQ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13971 W PRESERVE BLVD, BURNSVILLE, MN 55337-7733
(952) 855-2363
(952) 855-2363
Mailing address
13971 W PRESERVE BLVD, BURNSVILLE, MN 55337-7733
(952) 855-2363
(952) 855-2363
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/30/2026
Last updated
07/30/2026
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