Individual
ABRAHAM TIFFANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13025 8TH ST, OSSEO, WI 54758
(715) 838-5222
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(715) 838-5222
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
68194
WI
207Q00000X
Family Medicine Physician
MN 59994
MN
Other
Enumeration date
07/04/2014
Last updated
02/25/2021
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