Individual
XIAOFANG SHENG-TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 SIXTH AVE N, CENTRACARE CLINIC, ST CLOUD, MN 56303-2735
(320) 252-5131
(319) 272-7313
Mailing address
1200 SIXTH AVE N, CENTRACARE CLINIC, ST CLOUD, MN 56303-2735
(320) 252-5131
(319) 272-7313
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
37726
IA
207R00000X
Internal Medicine Physician
Primary
53750
MN
208M00000X
Hospitalist Physician
53750
MN
Other
Enumeration date
06/17/2008
Last updated
02/25/2011
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