NPI 1619733557

Omar Shukri

Practitioner Driver Bloomington, MN

Practice location

Address: 1701 American Blvd E STE 16, Bloomington, MN 55425-1401
Phone: (612) 605-1621
Fax: (612) 605-1631

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence W513-266-982-909 (MN)

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Registry record

NPI: 1619733557
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Feb 2024
Record last updated: 27 Feb 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.