Individual
DR. TIFFANY BECKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
425 7TH ST NW, CASS LAKE, MN 56633-5663
(218) 335-3200
(218) 335-3284
Mailing address
425 7TH ST NW, CASS LAKE, MN 56633-3360
(218) 335-3200
(218) 335-3284
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
41570
MN
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
41570
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125028100
—
MN
Enumeration date
06/17/2005
Last updated
09/30/2022
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