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NPI 1376940171

IndividualActive

Abdulahi Osman

NPI 1376940171 · Contractor · Eagle Lake, MN

Provider details

NPI number: 1376940171
Entity type: Individual
Primary specialty: ContractorOther Service Providers
Sex: Male
Sole proprietor: No
License: 791703400022 (MN)

Practice location

248 Oak Dr

Eagle Lake, MN 56024-3404

Phone: (734) 548-2095

More MN providers

Mailing address

248 Oak Dr

Eagle Lake, MN 56024-3404

Registry dates

Enumerated: 2014-11-24
Last updated: 2014-11-24

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Abdulahi Osman — NPI 1376940171, Eagle Lake, MN | NPI Central