Organization
LIFE MEDICAL, P.A.
Active
Other names
Life Medical
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB I MIRMAN MD (MANAGING PARTNER)
(952) 933-8900
Entity
Organization
Contact information
Practice address
4201 EXCELSIOR BLVD, SAINT LOUIS PARK, MN 55416-4728
(952) 933-1121
(952) 945-9536
Mailing address
4201 EXCELSIOR BLVD, SAINT LOUIS PARK, MN 55416-4728
(952) 933-8900
(952) 945-9536
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
MN
Other
Enumeration date
06/10/2006
Last updated
09/18/2025
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