NPI 1144685660

Abdirizak Ibrahim

Practitioner Driver Minneapolis, MN

Practice location

Address: 127 W Lake St, Minneapolis, MN 55408-3141
Phone: (952) 649-1046

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence P1236165405210 (MN)

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Registry record

NPI: 1144685660
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Dec 2015
Record last updated: 28 Dec 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.