Individual
DR. MINA KHORSHIDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10539 N HIDDEN CREEK CT, MEQUON, WI 53092-8543
(262) 242-3565
Mailing address
10539 N HIDDEN CREEK CT, MEQUON, WI 53092-8543
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
44766
WI
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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