Individual
TANNER NIEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2520 PILOT KNOB RD STE 250, MENDOTA HEIGHTS, MN 55120-1347
(651) 224-8264
Mailing address
6480 153RD WAY NW, RAMSEY, MN 55303-4402
(612) 432-6155
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
Primary
—
—
Other
Enumeration date
06/04/2026
Last updated
06/04/2026
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