Individual
RUBY WAIYEE TAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5700 BOTTINEAU BLVD, SUITE 100, CRYSTAL, MN 55429-3183
(763) 504-6500
Mailing address
5700 BOTTINEAU BLVD, SUITE 100, CRYSTAL, MN 55429-3183
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
53209
MN
Other
Enumeration date
05/18/2009
Last updated
09/24/2012
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