Individual
DEAN T TSUKAYAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 PARK AVE # B1, MINNEAPOLIS, MN 55415-1623
(612) 873-2700
(612) 904-4440
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-2700
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
29004
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
917278500
—
MN
Enumeration date
06/02/2006
Last updated
10/04/2012
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