Individual
ABDIFATAH MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1011 30TH ST NW UNIT 204, WILLMAR, MN 56201-4764
(651) 434-7202
Mailing address
1011 30TH ST NW UNIT 204, WILLMAR, MN 56201-4764
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
MN
Other
Enumeration date
03/04/2026
Last updated
03/04/2026
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