Provider Demographics
NPI:1376396895
Name:KIZILGUL, MUHAMMED
Entity Type:Individual
Prefix:
First Name:MUHAMMED
Middle Name:
Last Name:KIZILGUL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 DELAWARE ST SE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455
Mailing Address - Country:US
Mailing Address - Phone:612-626-9943
Mailing Address - Fax:
Practice Address - Street 1:11535 ASLEY CT
Practice Address - Street 2:
Practice Address - City:INNER GROVE HEIGHTS
Practice Address - State:MN
Practice Address - Zip Code:55077
Practice Address - Country:US
Practice Address - Phone:612-423-7022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program