Individual
MRS. TIFFANI LYNNE SCHAMMEL MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
8225 FLYING CLOUD DR, EDEN PRAIRIE, MN 55344-5315
(952) 944-0700
Mailing address
3257 WOOD DUCK DR NW, PRIOR LAKE, MN 55372-3211
(952) 447-2895
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9320
MN
363AM0700X
Medical Physician Assistant
9320
MN
Other
Enumeration date
05/15/2006
Last updated
04/04/2016
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