Individual
MOHAMED OSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PRESIDENT
Contact information
Practice address
7455 FRANCE AVE S, SUITE 164, EDINA, MN 55435-4702
(612) 886-4450
Mailing address
7224 NOBLE AVE N, BROOKLYN CENTER, MN 55429-1221
(612) 886-4450
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
12/14/2015
Last updated
06/14/2016
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