Individual
IBRAHIM A MUJIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8559 EDINBROOK PKWY, STE 100, BROOKLYN PARK, MN 55443-3747
(763) 425-1888
Mailing address
5320 W 23RD ST STE 130, ST LOUIS PARK, MN 55416-1670
(952) 345-3310
(952) 345-8771
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39507
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
73815800
—
MN
Enumeration date
10/06/2006
Last updated
07/09/2021
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