Individual
DR. MICHAEL F TIFFANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
235 E STATE ST, SAINT CROIX FALLS, WI 54024-4117
(715) 483-3261
(715) 483-0507
Mailing address
235 E STATE ST, SAINT CROIX FALLS, WI 54024-4117
(715) 483-3261
(715) 483-0507
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
41912
WI
207V00000X
Obstetrics & Gynecology Physician
54876
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033226147
NPI
WI
05
—
30097800
—
WI
Enumeration date
08/24/2006
Last updated
05/12/2023
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