Individual
DR. JOHN MICHAEL TINJUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4000 28TH AVE S, MOORHEAD, MN 56560-7926
(701) 234-3261
(701) 417-6802
Mailing address
4000 28TH AVE S, MOORHEAD, MN 56560-7926
(701) 234-3261
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
12400
ND
207R00000X
Internal Medicine Physician
Primary
59995
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81347
—
ND
Enumeration date
01/26/2009
Last updated
03/16/2016
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