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Contact Information

REZWAN ISLAM, MD
5200 FAIRVIEW BLVD STE 1300
WYOMING, MN55092-8013
 Phone: 651-982-7980
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
 

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for REZWAN ISLAM · (Male)

NPI # 1154417145
Status Active
Credentials MD
Entity Individual
Enumeration date 10/05/2006
Last updated 02/25/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • MN License # 81162
  • WI License # 41049
  • WI Medicaid 32548600
Hospital affiliation(s)
  • ASPIRUS WAUSAU HOSPITAL - (Acute Care)
    333 PINE RIDGE BLVD
    WAUSAU, WI 54401
  • MINISTRY ST MICHAELS HOSPITAL OF STEVENS POINT - (Acute Care)
    900 ILLINOIS AVE
    STEVENS POINT, WI 54481
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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