Individual
MITRA ANOOSHEH KHOSRAVI FLANIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
29294
MN
208600000X
Surgery Physician
65872
MN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
65872
MN
Other
Enumeration date
03/23/2018
Last updated
08/08/2024
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