Individual
LOTFOLLAH RAISSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
915 S 7TH ST, B1, MINNEAPOLIS, MN 55404
(612) 873-5555
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
31413
MN
Other
Enumeration date
05/23/2006
Last updated
07/30/2007
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