Individual
REZWAN ISLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5200 FAIRVIEW BLVD STE 1300, WYOMING, MN 55092-8013
(651) 982-7980
Mailing address
1700 UNIVERSITY AVE W FL 6, SAINT PAUL, MN 55104-3727
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
41049
WI
207RH0003X
Hematology & Oncology Physician
41049
WI
207RX0202X
Medical Oncology Physician
Primary
81162
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32548600
—
WI
Enumeration date
10/05/2006
Last updated
02/25/2026
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