Individual
ISTIAQ H MIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 S PARK ST, MADISON, WI 53715-1830
(608) 251-6100
Mailing address
1808 W BELTLINE HWY, MADISON, WI 53713-2334
(608) 280-4647
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
67251-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033537378
—
WI
Enumeration date
04/03/2014
Last updated
12/14/2020
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