MEHTAB MIZAN

URBANA, IL
NPI1104976380
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  036098942)
Enumeration Date2007-01-11
Last Update Date2014-05-06
Business Address
-- MEHTAB MIZAN MD
611 W PARK ST
URBANA, IL 61801-2500
Phone number: 217-383-3129
Mailing Address
-- MEHTAB MIZAN MD
611 W PARK ST BWPC
URBANA, IL 61801-2529
Phone number: 217-383-6792
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