FOWSIA ISSE

Health Maintenance Organization

Active Individual
NPI: 1407219645

Practice Address

5519 LYNDALE AVE N
Minneapolis, MN 55430

Phone: (612) 978-7470

Specialties

Specialty Code Primary License
Community Health Worker 172V00000X No -
Health Maintenance Organization 302R00000X Yes -

Frequently Asked Questions

NPI 1407219645 is the National Provider Identifier for FOWSIA ISSE, a Health Maintenance Organization provider located in Minneapolis, MN. This NPI was enumerated on April 4, 2016.
FOWSIA ISSE practices at 5519 LYNDALE AVE N, Minneapolis, MN 55430.

Quick Facts

NPI
1407219645
Type
Individual
Enumerated
Apr 4, 2016
Last Updated
Apr 4, 2016

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