Individual
TIFFANY M ABRAHAMIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
407 E 3RD ST, DULUTH, MN 55805-1950
(218) 786-8364
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
5101022642
MI
207P00000X
Emergency Medicine Physician
Primary
68212
MN
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
74059-21
WI
Other
Enumeration date
06/29/2016
Last updated
02/08/2021
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