Individual
TAMMY KAE MEHLHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3601 MINNESOTA DR STE 200, BLOOMINGTON, MN 55435-5281
(612) 879-1000
(612) 879-9116
Mailing address
3601 MINNESOTA DR STE 200, BLOOMINGTON, MN 55435-5281
(612) 879-1000
(612) 879-9116
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9114
MN
Other
Enumeration date
12/02/2009
Last updated
08/23/2024
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