Organization
AUTISTIC PRESTIGE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IKRAN IBRAHIM (OWNER)
(651) 447-3671
Entity
Organization
Contact information
Practice address
2355 HIGHWAY 36 W STE 400, ROSEVILLE, MN 55113-3905
(651) 447-3671
Mailing address
2355 HIGHWAY 36 W STE 400, ROSEVILLE, MN 55113-3905
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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