Individual
DR. MISTY TU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
480 OSBORNE RD NE STE 260, FRIDLEY, MN 55432-2866
(763) 236-3800
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
M3409
TX
2084P0800X
Psychiatry Physician
Primary
40715
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
351614
—
AZ
Enumeration date
08/31/2006
Last updated
07/21/2022
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