Individual
DR. JOHN W TULLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
420 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0341
(612) 625-5152
(612) 625-7950
Mailing address
310 OAKWOOD TER, SAINT PAUL, MN 55127-6018
(651) 483-3816
(612) 625-7950
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
22267
MN
2084N0400X
Neurology Physician
Primary
22267
MN
2084N0400X
Neurology Physician
29767
WI
2084N0600X
Clinical Neurophysiology Physician
22267
MN
2084N0600X
Clinical Neurophysiology Physician
29767
WI
Other
Enumeration date
01/13/2006
Last updated
04/03/2014
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