NPI 1063885044
Mohamed Matan
Practice location
- Address
- 2111 21st Ave S APT 16, Minneapolis, MN 55404-2279
- Phone
- (952) 994-4844
Registered specialties
Non-emergency Medical Transport (VAN)
Primary
Registry record
- NPI
- 1063885044
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 12 Nov 2015
- Record last updated
- 12 Nov 2015
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.