Individual
AHMEDNUR ABDIRAHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10750 BRUNSWICK RD APT 111, BLOOMINGTON, MN 55438-1860
(612) 203-6165
Mailing address
10750 BRUNSWICK RD APT 111, BLOOMINGTON, MN 55438-1860
(612) 203-6165
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
2960569
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2960569
HOME HEALTH CARE
MN
Enumeration date
03/26/2013
Last updated
03/26/2013
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