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Individual

MARIE CHAE WON TATE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1 HOSPITAL DR, COLUMBIA, MO 65212-1000
(573) 882-4141
Mailing address
1324 UNIVERSITY AVE APT 2, GRAND FORKS, ND 58203-3476
(218) 280-6490

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2026019374
MO

Other

Enumeration date
05/11/2026
Last updated
05/11/2026
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