Individual
ANOSHIRVAN MAZHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
425 7TH ST NW, CASS LAKE, MN 56633-3360
(218) 335-3200
Mailing address
425 7TH ST NW, CASS LAKE, MN 56633-3360
(218) 335-3200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
55952
MN
207Q00000X
Family Medicine Physician
R-8755
IA
Other
Enumeration date
06/22/2009
Last updated
01/10/2024
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