| Dagan Wellness Clinic | |
|
13971 W Preserve Blvd Burnsville MN 55337-7733 | |
| (952) 303-6085 | |
| (952) 426-0785 |
| Full Name | Dagan Wellness Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 13971 W Preserve Blvd, Burnsville, Minnesota |
| Authorized Official Name and Position | Ayan A Hassan (PROVIDER) |
| Authorized Official Contact | 5072716865 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dagan Wellness Clinic 13971 W Preserve Blvd Burnsville MN 55337-7733 Ph: (952) 303-6085 | Dagan Wellness Clinic 13971 W Preserve Blvd Burnsville MN 55337-7733 Ph: (952) 303-6085 |
| NPI Number | 1982065983 |
|---|---|
| Provider Enumeration Date | 03/17/2016 |
| Last Update Date | 09/06/2023 |
| Medicare PECOS PAC ID | 3375842115 |
|---|---|
| Medicare Enrollment ID | O20160429001268 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982065983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Ayan A Hassan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962808857 PECOS PAC ID: 2163724766 Enrollment ID: I20160113000528 |
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