Individual
ALI ISMAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
4820 ALPHA PKWY NW APT 327, ROCHESTER, MN 55901-3325
(502) 938-8039
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
0000000
KY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
73511
MN
390200000X
Student in an Organized Health Care Education/Training Program
782449
TX
Other
Enumeration date
07/09/2019
Last updated
02/11/2025
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