Individual
HASSAN OMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3055 OLD HIGHWAY 8, SUITE 101I, ST ANTHONY, MN 55418-2500
(612) 423-1060
Mailing address
3055 OLD HIGHWAY 8, SUITE 101I, ST ANTHONY, MN 55418-2500
(612) 423-1060
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
01/19/2016
Last updated
01/19/2016
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