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Individual
KORY LEE TUOMINEN
Active
Individual
KORY LEE TUOMINEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
41754
MN
207Q00000X
Family Medicine Physician
Primary
A103333
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0113155
MEDICA
—
01
—
080173452
RAILROAD MEDICARE
—
01
—
151339
UCARE
—
05
—
279521300
—
MN
01
—
47D39TU
BCBS
—
01
—
MH9101025601
PREFERRED ONE
—
Enumeration date
12/15/2005
Last updated
09/22/2015
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