Individual
TARA KONAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6405 FRANCE AVE S, SUITE W200, EDINA, MN 55435-2163
(952) 924-9005
(952) 924-0330
Mailing address
6405 FRANCE AVE S, SUITE W200, EDINA, MN 55435-2163
(952) 924-9005
(952) 924-0330
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10106
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0123289
MEDICA NUMBER
MN
Enumeration date
04/13/2006
Last updated
07/08/2007
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