Individual
MIREILLE MBAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2305 37TH AVE SW, MINOT, ND 58701-7669
(701) 418-7380
(701) 418-7381
Mailing address
PO BOX 5010, MINOT, ND 58702-5010
(701) 418-8000
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
PT21448
ND
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/21/2014
Last updated
04/28/2025
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