Individual
DR. TONYA LYNNE BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13819 HANSON BLVD NW, ANDOVER, MN 55304-7608
(763) 572-5710
(763) 862-4490
Mailing address
6401 UNIVERSITY AVE NE, FRIDLEY, MN 55432-4341
(763) 572-5710
(763) 571-3008
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
43377
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011648300
—
MN
01
—
1030993
PREFERRED ONE
MN
01
—
1201818
MEDICA
MN
01
—
128387
UCARE MN
MN
01
—
1594350
AMERICA'S PPO
MN
01
—
59G17BR
BCBS OF MN
MN
01
—
6605841
MEDICA UC
MN
01
—
7978447
AETNA
MN
01
—
HP35365
HEALTHPARTNERS
MN
Enumeration date
04/04/2006
Last updated
10/06/2011
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