Individual
JAMES C TYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422-2926
(763) 520-5609
(763) 520-7562
Mailing address
5101 ARDEN AVE, EDINA, MN 55424-1317
(952) 925-5897
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
31374
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
976895500
—
MN
Enumeration date
09/21/2006
Last updated
07/08/2007
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