Individual
ERIC G TANGALOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
22557
MN
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
22557
MN
Other
Enumeration date
12/28/2005
Last updated
08/20/2020
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