Individual
MR. GERSHOM AARON TAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
(612) 813-6000
Mailing address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
(408) 505-7005
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
7824
MN
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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