Provider Demographics
NPI:1184856957
Name:HUSEINBEGOVIC, VEDRAN (CMT)
Entity Type:Individual
Prefix:MR
First Name:VEDRAN
Middle Name:
Last Name:HUSEINBEGOVIC
Suffix:
Gender:M
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3310 NICOLLET AVE
Mailing Address - Street 2:UNIT 307
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55408-4495
Mailing Address - Country:US
Mailing Address - Phone:952-240-0724
Mailing Address - Fax:
Practice Address - Street 1:3300 LYNDALE AVE S
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55408-2619
Practice Address - Country:US
Practice Address - Phone:952-240-0724
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-12
Last Update Date:2013-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist