Individual
DR. MOHAMMED I HUSSAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1013 HART BLVD, MONTICELLO, MN 55362-8575
(763) 271-2248
Mailing address
9136 W RIVER RD, BROOKLYN PARK, MN 55444-1218
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
42661
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148465600
—
MN
01
—
42661
STATE LICENSE
MN
Enumeration date
02/13/2006
Last updated
08/22/2023
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