Individual
TIANA KAZEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 OSBORNE RD NE STE 150, FRIDLEY, MN 55432-2770
(763) 786-6011
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
30487
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2018
Last updated
03/28/2024
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