Individual
TAMMY J ESTREM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
909 FULTON ST SE FL 3, MINNEAPOLIS, MN 55455-4800
(651) 293-3900
(612) 365-0369
Mailing address
8139 59TH AVE N, NEW HOPE, MN 55428-2764
(651) 428-0220
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
12800
MN
363AS0400X
Surgical Physician Assistant
Primary
12800
MN
Other
Enumeration date
10/03/2018
Last updated
10/06/2024
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