Individual
DR. TIFFANY MAE MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
17489 DODD BLVD, LAKEVILLE, MN 55044-6506
(952) 428-1020
Mailing address
PO BOX 43, MINNEAPOLIS, MN 55440-0043
(612) 262-1166
(612) 262-4258
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
77680
MN
Other
Enumeration date
04/07/2021
Last updated
11/26/2024
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