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Individual

MELISSA KIZILOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3535 BLUE CROSS RD, EAGAN, MN 55122-1154
(952) 412-7468
Mailing address
5864 STONEYBROOK DR, MINNETONKA, MN 55345-6433
(952) 412-7468

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
38101
MN

Other

Enumeration date
11/29/2018
Last updated
11/29/2018
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