Individual
TARA MARIE COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7455 VILLAGE DR, LINO LAKES, MN 55014-1181
(651) 717-3400
Mailing address
5200 FAIRVIEW BLVD, WYOMING, MN 55092-8013
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
47103
MN
Other
Enumeration date
05/18/2006
Last updated
09/11/2008
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