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Yasin Ali Ahmed

Physician Assistant in Willmar, MN. Individual provider (NPI-1).

NPI number1760103345
StatusActive
Last updated in NPPESApr 25, 2025

Details

NPI
1760103345
Entity type
Individual (NPI-1)
Name
Yasin Ali Ahmed
Sex
Male
Sole proprietor
No
Enumeration date
Sep 12, 2022
Certification date
Apr 25, 2025
Last updated
Apr 25, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant15176MNYes

Practice location

101 Willmar Ave Sw
Willmar, MN 56201-3556

Phone 320-231-5000

Mailing address

7900 Stratford Cir N
Shakopee, MN 55379-3126

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