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Fadumo Mahamed

NPI 1700597713 · on the registry since 2022

Practice

Address
4236 Park Glen Rd
Saint Louis Park, MN 55416
Phone
(952) 888-7055
Fax
(612) 605-3312
Clinicians at this address
46

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-12-09
Status
Not present in the most recent federal file

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