IndividualActive
Bisharo Iman
NPI 1033923487 · Contractor · Saint Cloud, MN
Provider details
- NPI number
- 1033923487
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Practice location
3842 Bear Ridge Ave S
Saint Cloud, MN 56301-6244
Phone: (320) 223-9847
Mailing address
3842 Bear Ridge Ave S
Saint Cloud, MN 56301-6244
Registry dates
- Enumerated
- 2025-02-05
- Last updated
- 2025-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.