Individual
TARA JEAN DENKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1230 E MAIN STREET, MANKATO CLINIC AT MAIN STREET, MANKATO, MN 56002-8674
(507) 625-1811
Mailing address
1230 E MAIN ST PO-BOX 8674, MANKATO CLINIC LTD, MANKATO, MN 56002-8674
(507) 625-1811
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
50240
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163697100
—
MN
Enumeration date
08/13/2007
Last updated
07/01/2024
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