SUADO DIRIR
Preferred Provider Organization
Active
Individual
NPI: 1417493990
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Preferred Provider Organization | 305R00000X | Yes | 1082425 (MN) |
Frequently Asked Questions
NPI 1417493990 is the National Provider Identifier for SUADO DIRIR, a Preferred Provider Organization provider located in Minneapolis, MN. This NPI was enumerated on January 9, 2017.
SUADO DIRIR practices at 2605 BLOOMINGTON AVE, Minneapolis, MN 55407.
Quick Facts
- NPI
- 1417493990
- Type
- Individual
- Enumerated
- Jan 9, 2017
- Last Updated
- Jan 9, 2017
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