NPI 1386513729

Sean M Mulubisha

Practitioner Radiology Practitioner Assistant Coon Rapids, MN

Practice location

Address: 2529 132nd Ln NW, Coon Rapids, MN 55448-1205
Phone: (763) 340-2330

Registered specialties

Radiology Practitioner Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 243U00000X

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Registry record

NPI: 1386513729
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Nov 2025
Record last updated: 3 Nov 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.