NPI 1649675869

Isse Mohamed Elmi

Practitioner Preferred Provider Organization Minneapolis, MN

Practice location

Address: 3201 2nd Ave S, Minneapolis, MN 55408-3202
Phone: (612) 245-0470

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

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Registry record

NPI: 1649675869
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Oct 2014
Record last updated: 30 Oct 2014

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.