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Individual

SADIQ MAHAMED HIRSI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
15815 FRANKLIN TRL SE STE 502, PRIOR LAKE, MN 55372-2076
(507) 202-3707
Mailing address
15403 EMBLEM WAY, APPLE VALLEY, MN 55124-6147
(612) 205-2030

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary

Other

Enumeration date
04/05/2022
Last updated
12/30/2024
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Product
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  • Eligibility checks
  • EDI platform