Individual
TAMARA W CONGDON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 252-5131
(320) 240-2118
Mailing address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 252-5131
(320) 240-2118
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
43888
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0402865
MEDICA HEALTH PLANS
—
01
—
1027347
PREFERRED ONE
—
01
—
1285470
ARAZ GROUP AMERICAS PPO
—
01
—
151693
UCARE
—
01
—
2114112
FIRST HEALTH PLAN
—
01
—
43F35CO
BLUE CROSS BLUE SHIELD
—
05
—
64767800
—
MN
01
—
HP32991
HEALTH PARTNERS
—
Enumeration date
10/14/2005
Last updated
07/08/2007
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