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Individual

AKRAM HUSSAIN DASTAGIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301097171
MI
2084N0400X
Neurology Physician
64398-20
WI
2084N0400X
Neurology Physician
Primary
66845
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
66845
MN LICENSE
MN
Enumeration date
08/18/2010
Last updated
05/18/2022
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