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Individual

DR. JENNIFER TANGTIPHAIBOONTANA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
200 1ST ST SW, ROCHESTER, MN 55905
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
65408
MN
207X00000X
Orthopaedic Surgery Physician
72305
WI
207XX0801X
Orthopaedic Trauma Physician
MD60838780
WA

Other

Enumeration date
05/07/2013
Last updated
08/14/2023
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