Most Relevant Information
Provider Data
| NPI Number: | 1003262668 |
| Provider Name: | IZZA MIR D.O. |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | OT017043 |
Most Important Dates
| Enumeration Date: | 05/12/2016 |
| Last Updated: | 09/18/2024 |
Provider Practice Location
1000 1ST DR NW
AUSTIN
MN
559122941
Practice Location Phone/Fax
| Phone: | 5074337351 |
| Fax: |
Provider Mailing Location
6201 GREENLEIGH AVE
MIDDLE RIVER
MD
212202004
Provider Mailing Phone/Fax
| Phone: | 4109335412 |
| Fax: |
Suggested EMR
Internist EMR