Isuroon Specialty Care Clinic

NPI #1265003420 in Minneapolis, Minnesota

Provider Information

NPI Number
1265003420
Entity Type
Organization
Organization Name
Isuroon Specialty Care Clinic
Subpart
Yes (part of a larger organization)
Parent Organization
ISUROON
Primary Specialty
Clinic/Center - Community Health
Enumeration Date
Jul 8, 2021
Last Updated
Jul 8, 2021

Practice Location

Address
1600 E LAKE ST
ZIP Code
55407-1846
Phone
(612) 866-2731

Authorized Official

Name
FARTUN WELI
Title
EXECUTIVE DIRECTOR
Phone
(612) 866-2731

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Community HealthCommunity Health

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