Individual
MR. ISSE MOHAMED ELMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3201 2ND AVE S, MINNEAPOLIS, MN 55408-3202
(612) 245-0470
Mailing address
3201 2ND AVE S, MINNEAPOLIS, MN 55408-3202
(612) 245-0470
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
10/30/2014
Last updated
10/30/2014
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