Individual
DR. JACOB ISAAC MIRMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4201 EXCELSIOR BLVD, SAINT LOUIS PARK, MN 55416-4728
(952) 933-8900
(952) 945-9536
Mailing address
4201 EXCELSIOR BLVD, ST LOUIS PARK, MN 55416-4728
(952) 933-8900
(952) 945-9536
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33594
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
959862600
—
MN
Enumeration date
06/12/2006
Last updated
09/18/2025
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