Individual
MOHAMED ISMAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3325 COLUMBUS AVE, MINNEAPOLIS, MN 55407-2032
(612) 998-6592
Mailing address
3325 COLUMBUS AVE, MINNEAPOLIS, MN 55407-2032
(612) 998-6592
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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