Organization
MIZAN MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SADIK A. ALI MD (MEDICAL DIRECTOR)
(612) 205-1113
Entity
Organization
Contact information
Practice address
200 W LAKE ST STE 128, MINNEAPOLIS, MN 55408-5303
(612) 205-1113
Mailing address
400 S 4TH ST STE 401-1076, MINNEAPOLIS, MN 55415-1411
(612) 205-1113
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/22/2025
Last updated
03/27/2025
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