Individual
IRSHA OMER ELMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2222 PARK AVE, MINNEAPOLIS, MN 55404-3710
(612) 707-5505
Mailing address
550 SNELLING AVE N APT 406, SAINT PAUL, MN 55104-2339
(612) 707-5505
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
W953298443217
MN
Other
Enumeration date
10/31/2019
Last updated
10/31/2019
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