| Aspen-mn Llc | |
|
860 Blue Gentian Rd Ste 200 Eagan MN 55121-1567 | |
| (651) 256-4100 | |
| Not Available |
| Full Name | Aspen-mn Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 860 Blue Gentian Rd Ste 200, Eagan, Minnesota |
| Authorized Official Name and Position | Fardowsa Abdullahi Tahlil (OWNER) |
| Authorized Official Contact | 6512564162 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspen-mn Llc 860 Blue Gentian Rd Ste 200 Eagan MN 55121-1567 Ph: (651) 256-4100 | Aspen-mn Llc 860 Blue Gentian Rd Ste 200 Eagan MN 55121-1567 Ph: (651) 256-4100 |
| NPI Number | 1629747944 |
|---|---|
| Provider Enumeration Date | 09/09/2021 |
| Last Update Date | 07/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629747944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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