Individual
MS. TAMMY M DANIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5615 XERXES AVE N, BROOKLYN CENTER, MN 55430
(763) 581-5630
(763) 581-5631
Mailing address
5615 XERXES AVE N, BROOKLYN CENTER, MN 55430-2819
(763) 581-5630
(763) 581-5631
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/22/2019
Last updated
03/28/2019
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