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Individual

DR. TONYA LYNNE BRYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

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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