Search › Minnesota › 207R00000X
Jacob Mirman, M.D
NPI 1568404440 · on the registry since 2006
Practice
- Address
- 4201 Excelsior Blvd
Saint Louis Park, MN 55416 - Phone
- (952) 933-8900
- Fax
- (952) 945-9536
- Organisation at this address
- Life Medical, P.A.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota