Individual
ALI REZA ESMAEILZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2945 HAZELWOOD ST STE 100, MAPLEWOOD, MN 55109-1242
(651) 232-7800
Mailing address
2396 ARNOLD PALMER DR, BLAINE, MN 55449-5517
(651) 343-3403
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
43644
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420058600
—
MN
Enumeration date
03/31/2006
Last updated
08/06/2025
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