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Individual

DR. TAMMY JO LOVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
18281 MINNETONKA BLVD, WAYZATA, MN 55391-3345
(952) 475-0079
(952) 475-1030
Mailing address
18281 MINNETONKA BLVD, WAYZATA, MN 55391-3345
(952) 475-0079
(952) 475-1030

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3658
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0533
HSM INC
MN
01
60B92LO
BCBS
MN
01
656384
C.C.M.I
MN
01
U82339
METROPOLITAN HEALTH PLAN
MN
Enumeration date
09/20/2006
Last updated
07/08/2007
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