Provider Demographics
NPI:1467094375
Name:WOLI, AHMED ABDI
Entity Type:Individual
Prefix:MR
First Name:AHMED
Middle Name:ABDI
Last Name:WOLI
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 1:4236 PARK GLEN RD
Mailing Address - Street 2:
Mailing Address - City:ST.LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55416
Mailing Address - Country:US
Mailing Address - Phone:952-888-7055
Mailing Address - Fax:
Practice Address - Street 1:4236 PARK GLEN RD
Practice Address - Street 2:
Practice Address - City:ST.LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55416
Practice Address - Country:US
Practice Address - Phone:952-888-7055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-11
Last Update Date:2020-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker