NPI 1134936230

Spectrum Development Center Service Corporation

Organisation Clinic/Center Apple Valley, MN

Practice location

Address: 14540 Pennock Ave STE 102, Apple Valley, MN 55124-7443
Phone: (612) 366-4807

Authorised official

Name: Ahmedkhadar Warsame
Title: Owner
Phone: (612) 366-4807

Registered specialties

Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261Q00000X

Other Clinic/Center providers in Minnesota →

Registry record

NPI: 1134936230
Entity type: Organization
NPI issued: 12 Dec 2024
Record last updated: 12 Dec 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.