Provider Demographics
NPI:1326403833
Name:WISDOM TRANSPORTATION
Entity Type:Organization
Organization Name:WISDOM TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ABDIRAHMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-270-1788
Mailing Address - Street 1:11100 ANDERSON LAKES PKWY
Mailing Address - Street 2:APT 315
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55344-7411
Mailing Address - Country:US
Mailing Address - Phone:952-270-1788
Mailing Address - Fax:
Practice Address - Street 1:11100 ANDERSON LAKES PKWY
Practice Address - Street 2:APT 315
Practice Address - City:EDEN PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:55344-7411
Practice Address - Country:US
Practice Address - Phone:952-270-1788
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-28
Last Update Date:2015-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes281P00000XHospitalsChronic Disease Hospital