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CARLYE TRISTIN TOMCZYK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP

Contact information

Practice address
2512 S 7TH ST, MINNEAPOLIS, MN 55454-1404
(612) 365-6777
(612) 365-8001
Mailing address
10950 UTAH AVE N, CHAMPLIN, MN 55316-3745

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R1581379
MN

Other

Enumeration date
06/01/2007
Last updated
10/13/2017
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