Jacob Isaac Mirman in Saint Louis Park - Internal Medicine
Jacob Isaac Mirman - NPI 1568404440
Jacob Isaac Mirman is a Internal Medicine in Saint Louis Park, Minnesota. Jacob Isaac Mirman practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Jacob Isaac Mirman is 1568404440. The last update date is 2007-07-08.
Jacob Isaac Mirman's current location address is 3015 Utah Ave S, Saint Louis Park, Minnesota. You can contact this provider via phone number 9529331121 and fax number 9529459635. The mailing address for Jacob Isaac Mirman is 3015 Utah Ave S, Saint Louis Park, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacob Isaac Mirman |
|---|---|
| Address | 3015 Utah Ave S, Saint Louis Park, Minnesota |
| Phone Number | 9529331121 |
| Fax Number | 9529459635 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1568404440 |
|---|---|
| Provider Enumeration Date | 2006-06-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3015 Utah Ave S |
|---|---|
| City | Saint Louis Park |
| State | Minnesota (MN) |
| Post Code | 554263671 |
| Phone Number | 9529331121 |
| Fax Number | 9529459635 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 33594 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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What is the unique 10-digit identifier code issued to Jacob Isaac Mirman by the Centers for Medicare & Medicaid Services?
The Jacob Isaac Mirman has been assigned the NPI (National Provider Identifier) 1568404440 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jacob Isaac Mirman's facilities are geographically located?
The facilities of Jacob Isaac Mirman are physically situated at the following location: 3015 Utah Ave S, Saint Louis Park, MN, 554263671.
What is Jacob Isaac Mirman's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jacob Isaac Mirman is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.
On what date did the Jacob Isaac Mirman receive its 1568404440 assignment from the Centers for Medicare & Medicaid Services?
The Jacob Isaac Mirman was assigned its 1568404440 by the Centers for Medicare & Medicaid Services on 2006-06-12.
As of what date were the details pertaining to Jacob Isaac Mirman last refreshed?
The information related to the Jacob Isaac Mirman, including its address, specialty, and other relevant details, was last updated on 2007-07-08.