Individual
DR. DOUGLAS GEORGE TANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7125 TAMARACK RD STE 100, WOODBURY, MN 55125-1308
(952) 888-5800
(952) 567-6156
Mailing address
9801 DUPONT AVE S, STE 425, BLOOMINGTON, MN 55431-3873
(952) 888-5800
(952) 567-6156
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
22264
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149280200
—
MN
Enumeration date
02/06/2006
Last updated
09/15/2020
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