Individual
DR. GHULAM R. MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2201 N BROADWELL AVE, GRAND ISLAND, NE 68803-2153
(308) 382-3660
Mailing address
1619 W CHARLES ST, GRAND ISLAND, NE 68801-6316
(308) 384-1347
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21292
NE
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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