Individual
ADAM FIRAS ALAIWI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4111 CENTRAL AVE NE STE 208A, COLUMBIA HEIGHTS, MN 55421-2955
(612) 323-2113
Mailing address
4111 CENTRAL AVE NE STE 208A, COLUMBIA HEIGHTS, MN 55421-2955
(612) 323-2113
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
H498069490621
MN
Other
Enumeration date
05/24/2018
Last updated
05/24/2018
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