# IMRAN MIR MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003353350
- **Authorized official:** IMRAN MIR MD (PROVIDER)
- **Authorized official phone:** (810) 631-4060

## Contact information

- **Practice address:** 3757 PRAIRIE CREEK LN, SAGINAW, MI 48603-1280
- **Practice address phone:** (810) 631-4060
- **Practice address fax:** (810) 631-4101
- **Mailing address:** 3785 BAY RD, SAGINAW, MI 48603-2433
- **Mailing address phone:** (989) 791-2455
- **Mailing address fax:** (989) 791-1392

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 4301092308 | MI | Yes |

## Other

- **Enumeration date:** 01/25/2017
- **Last updated:** 01/25/2017