Individual
DR. ALI MOKHTARZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
420 DELAWARE ST SE, MMC 493, MINNEAPOLIS, MN 55455-0341
(612) 625-4654
(612) 626-3119
Mailing address
420 DELAWARE ST SE, MMC 493, MINNEAPOLIS, MN 55455-0341
(612) 625-4654
(612) 626-3119
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
55387
MN
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
55387
MN
Other
Enumeration date
06/18/2008
Last updated
07/29/2016
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