Individual
ADAN ABDIAZIZ KASSIM I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3055 OLD HIGHWAY 8 STE 313, MINNEAPOLIS, MN 55418-2500
(763) 339-9907
Mailing address
2732 CHICAGO AVE, MINNEAPOLIS, MN 55407-3786
(763) 339-9907
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
K000-113-467-400
MN
Other
Enumeration date
08/11/2025
Last updated
09/03/2025
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