| Mizan Medical Group Pllc | |
|
200 W Lake St Ste 128 Minneapolis MN 55408-5303 | |
| (612) 205-1113 | |
| Not Available |
| Full Name | Mizan Medical Group Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 200 W Lake St Ste 128, Minneapolis, Minnesota |
| Authorized Official Name and Position | Sadik A. Ali (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6122051113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mizan Medical Group Pllc 400 S 4th St Ste 401-1076 Minneapolis MN 55415-1411 Ph: (612) 205-1113 | Mizan Medical Group Pllc 200 W Lake St Ste 128 Minneapolis MN 55408-5303 Ph: (612) 205-1113 |
| NPI Number | 1902602626 |
|---|---|
| Provider Enumeration Date | 02/22/2025 |
| Last Update Date | 03/27/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902602626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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