Individual
SHUKRI ISSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4601 EXCELSIOR BLVD STE 303, ST LOUIS PARK, MN 55416-4977
(952) 807-2263
Mailing address
4601 EXCELSIOR BLVD STE 303, ST LOUIS PARK, MN 55416-4977
(952) 807-2263
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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