Life Medical, P.a.
NPI #1740222496 in Saint Louis Park, Minnesota
Provider Information
- NPI Number
- 1740222496
- Entity Type
- Organization
- Organization Name
- Life Medical, P.a.
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Jun 10, 2006
- Last Updated
- Sep 18, 2025
Practice Location
- Address
- 4201 EXCELSIOR BLVD
- City
- Saint Louis Park
- State
- Minnesota
- ZIP Code
- 55416-4728
- Phone
- (952) 933-1121
Authorized Official
- Name
- JACOB I MIRMAN, MD
- Title
- MANAGING PARTNER
- Phone
- (952) 933-8900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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