Individual
SAID MALIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2940 PILLSBURY AVE S STE 205, MINNEAPOLIS, MN 55408-2275
(952) 200-7852
(612) 234-4409
Mailing address
2940 PILLSBURY AVE S #205, MINNEAPOLIS, MN 55408
(952) 200-7852
(612) 234-4409
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
217149-0
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A171455000
—
MN
Enumeration date
01/13/2016
Last updated
01/13/2016
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