NPI 1033923487

Bisharo Iman

Practitioner Contractor Saint Cloud, MN

Practice location

Address: 3842 Bear Ridge Ave S, Saint Cloud, MN 56301-6244
Phone: (320) 223-9847

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1033923487
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Feb 2025
Record last updated: 5 Feb 2025

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.