Most Relevant Information
Provider Data
  | NPI Number: | 1003593013 | 
| Provider Name: | IDO AHMED WELI | 
| Entity Type: | Individual | 
| Taxonomy Code: | 101YM0800X | 
| Specialty: | Counselor | 
| License Number: | 
Most Important Dates
  | Enumeration Date: | 06/30/2023 | 
| Last Updated: | 06/30/2023 | 
Provider Practice Location
  9340 JAMES AVE S
      
      BLOOMINGTON
      MN
      554312317
  Practice Location Phone/Fax
      | Phone: | 6122260907 | 
| Fax: | 
Provider Mailing Location
  9340 JAMES AVE S
      
      BLOOMINGTON
      MN
      554312317
  Provider Mailing Phone/Fax
      | Phone: | 6122260907 | 
| Fax: |