Individual
ISAAC MILTON ENGHOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
825 NICOLLET MALL STE 403, MINNEAPOLIS, MN 55402-2611
(612) 712-4423
(763) 284-0254
Mailing address
825 NICOLLET MALL STE 403, MINNEAPOLIS, MN 55402-2611
(612) 712-4423
(763) 284-0254
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
65161
MN
Other
Enumeration date
07/27/2012
Last updated
11/10/2020
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