Individual
DR. DARA D KOOZEKANANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
420 DELAWARE ST SE, MMC 493, MINNEAPOLIS, MN 55455-0341
(612) 625-9600
(612) 625-3693
Mailing address
1314 MARQUETTE AVE, APT 1907, MINNEAPOLIS, MN 55403-4111
(612) 605-2437
(612) 234-4664
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
50244
WI
207W00000X
Ophthalmology Physician
51736
MN
Other
Enumeration date
04/19/2006
Last updated
06/10/2021
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