Individual
DR. MIRNA GEORGES BOUMITRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
516 DELAWARE ST SE, CLINIC 2A, MINNEAPOLIS, MN 55455
(612) 626-1687
Mailing address
717 DELAWARE ST SE, MAIL CODE 1932, MINNEAPOLIS, MN 55414-2959
(612) 624-6843
(612) 626-3840
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
52751
MN
207R00000X
Internal Medicine Physician
57.010274
OH
207RN0300X
Nephrology Physician
Primary
52751
MN
Other
Enumeration date
02/25/2008
Last updated
04/07/2023
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