Individual
MISKI MUNIR ALIY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1613 128TH LN NW, COON RAPIDS, MN 55448-1573
(612) 446-1989
Mailing address
1613 128TH LN NW, COON RAPIDS, MN 55448-1573
(612) 446-1989
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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