Individual
ABDIFATAH YUSUF WARSAME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14023 VIRGINIA AVE, SAVAGE, MN 55378
(612) 275-7602
Mailing address
14023 VIRGINIA AVE, SAVAGE, MN 55378-6405
(612) 275-7602
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
C283025478013
MN
172A00000X
Driver
Primary
H448000177616
MN
Other
Enumeration date
08/07/2018
Last updated
08/08/2018
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