Search › Minnesota › 122300000X
Justin Nwosu
NPI 1104673227 · on the registry since 2024
Practice
- Address
- 7936 Portland Ave S
Bloomington, MN 55420 - Phone
- (952) 852-7776
- Organisation at this address
- Aspen Bloom, Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 390200000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota