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Individual

UMAR KAMAL SIDDIQUI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1001 E SUPERIOR ST STE 401, DULUTH, MN 55802-2229
(218) 249-5555
Mailing address
1001 E SUPERIOR ST STE 401, DULUTH, MN 55802-2229
(218) 249-5555

Taxonomy

Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
036157315
IL
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
72173
MN

Other

Enumeration date
05/31/2018
Last updated
07/24/2023
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