Individual
NAIM S ISSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, MAYO CLINIC, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
50006
MN
207RN0300X
Nephrology Physician
Primary
50006
MN
207RN0300X
Nephrology Physician
51113
WI
Other
Enumeration date
06/20/2007
Last updated
08/14/2020
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