MEDICARE: MUSTAFA H MUSSE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	252Y00000X	Early Intervention Provider Agency

General Provider Information

NPI Number	:	1013677632
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MUSTAFA H MUSSE

Provider Business Mailing Address
First Line	:	2520 E HENNEPIN AVE STE 6
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55413-2912
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2520 E HENNEPIN AVE STE 6
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55413-2912
Country	:	US
Telephone Number	:	612-203-4555
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/22/2021
Last Update Date	:	12/22/2021

Similar Medicare Providers

1982089926 — BENCHMARK CLINICAL PHARMACISTS, LLC
Practice Location Address:

2520 E HENNEPIN AVE , #4
MINNEAPOLIS, MN
55413-2912

Practice Phone: 952-200-1236
Practice Fax:

1073183018 — OPTIMA THERAPY MN LCC
Practice Location Address:

2520 E HENNEPIN AVE UNIT D
MINNEAPOLIS, MN
55413-2912

Practice Phone: 612-203-4555
Practice Fax:

1316699127 — FATIMA AHMED KADIR
Practice Location Address:

2520 E HENNEPIN AVE UNIT D
MINNEAPOLIS, MN
55413-2912

Practice Phone: 612-203-4555
Practice Fax:

1427707231 — AMINA HUSSEIN JAMA
Practice Location Address:

2520 E HENNEPIN AVE
MINNEAPOLIS, MN
55413-2912

Practice Phone: 612-203-4555
Practice Fax:

1609526748 — MARWA H MOHAMED
Practice Location Address:

2520 E HENNEPIN AVE UNIT D
MINNEAPOLIS, MN
55413-2912

Practice Phone: 612-441-7388
Practice Fax:

1750028478 — FEKRI MOHAMED IBRAHIM
Practice Location Address:

2520 E HENNEPIN AVE UNIT D
MINNEAPOLIS, MN
55413-2912

Practice Phone: 612-481-5749
Practice Fax:

Directions to “ MUSTAFA H MUSSE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.