Individual
SEAN R TINGUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
49725 COUNTY RD 83, LAKEWOOD HEALTH SYSTEM, STAPLES, MN 56479
(218) 894-8455
(218) 894-8451
Mailing address
49725 COUNTY RD 83, LAKEWOOD HEALTH SYSTEM, STAPLES, MN 56479
(218) 894-8455
(218) 894-8451
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
119342
MN
Other
Enumeration date
08/06/2008
Last updated
08/17/2011
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