Organization
ASPEN-MN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARDOWSA ABDULLAHI TAHLIL (OWNER)
(651) 256-4162
Entity
Organization
Contact information
Practice address
860 BLUE GENTIAN RD STE 200, EAGAN, MN 55121-1567
(651) 256-4100
Mailing address
860 BLUE GENTIAN RD STE 200, EAGAN, MN 55121-1567
(651) 256-4100
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/09/2021
Last updated
07/24/2024
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