| Nasro Abdinur Isaq, MD | |
|
9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | |
| (763) 780-9155 | |
| (763) 236-1066 |
| Full Name | Nasro Abdinur Isaq |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Location | 9055 Springbrook Dr Nw, Coon Rapids, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033748884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 31506 (Minnesota) | Secondary |
| 207N00000X | Dermatology | 69818 (Minnesota) | Primary |
| Entity Name | Mayo Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922074434 PECOS PAC ID: 6507778255 Enrollment ID: O20031103000285 |
| Entity Name | Mayo Clinic Health System-southeast Minnesota Region |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891701637 PECOS PAC ID: 4385556703 Enrollment ID: O20031104000408 |
| Entity Name | Mayo Clinic Health System-southwest Minnesota Region |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578545422 PECOS PAC ID: 4688585771 Enrollment ID: O20031110000134 |
| Entity Name | Mayo Clinic Health System-southwest Minnesota Region |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1124035282 PECOS PAC ID: 4688585771 Enrollment ID: O20171011003939 |
| Mailing Address | Practice Location Address |
|---|---|
| Nasro Abdinur Isaq, MD 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-9000 | Nasro Abdinur Isaq, MD 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 Ph: (763) 780-9155 |
Mr. Theodore Joseph Buselmeier, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3960 Coon Rapids Blvd Nw, Suite 116, Coon Rapids, MN 55433 Phone: 763-427-8113 Fax: 763-427-8131 |