Provider Demographics
NPI:1003488065
Name:YUSUF, ROBSAN
Entity Type:Individual
Prefix:
First Name:ROBSAN
Middle Name:
Last Name:YUSUF
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 CEDAR AVE S
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55454-1220
Mailing Address - Country:US
Mailing Address - Phone:952-221-5932
Mailing Address - Fax:763-592-8009
Practice Address - Street 1:607 CEDAR AVE S
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55454-1220
Practice Address - Country:US
Practice Address - Phone:952-221-5932
Practice Address - Fax:763-592-8009
Is Sole Proprietor?:No
Enumeration Date:2021-07-10
Last Update Date:2021-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker