Organization
CEDAR LAKE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABDULLAHI JAMA (BOARD MEMBER)
(612) 276-1000
Entity
Organization
Contact information
Practice address
1831 E LAKE ST, MINNEAPOLIS, MN 55407-1809
(612) 276-1000
(612) 729-1885
Mailing address
1831 E LAKE ST, MINNEAPOLIS, MN 55407-1809
(612) 276-1000
(612) 729-1885
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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