Individual
TARA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6939 PINE ARBOR DR S STE 100, COTTAGE GROVE, MN 55016-4643
(651) 326-5800
(651) 326-5802
Mailing address
1414 MARYLAND AVE E, SAINT PAUL, MN 55106-2824
(651) 793-5613
(651) 495-0499
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
59506
MN
Other
Enumeration date
04/21/2014
Last updated
07/21/2022
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