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Individual

IMRAN HAMAYUN MIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1551 PARK PL STE 300, GREEN BAY, WI 54304-1969
(920) 327-8893
Mailing address
1551 PARK PL STE 300, GREEN BAY, WI 54304-1969
(920) 327-8893

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6002239
WI

Other

Enumeration date
07/06/2026
Last updated
07/06/2026
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