Aspen-Mn LLC

NPI #1629747944 in Eagan, Minnesota

Provider Information

NPI Number
1629747944
Entity Type
Organization
Organization Name
Aspen-Mn LLC
Primary Specialty
Clinic/Center
Enumeration Date
Sep 9, 2021
Last Updated
Jul 24, 2024

Practice Location

Address
860 BLUE GENTIAN RD STE 200
City
Eagan
ZIP Code
55121-1567
Phone
(651) 256-4100

Authorized Official

Name
FARDOWSA ABDULLAHI TAHLIL
Title
OWNER
Phone
(651) 256-4162

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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