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Individual

KAREN P TA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1811 WEIR DRIVE SUITE 355 - MAIL STOP 13701A, HEALTHPARTNERS REGIONS BEHAVIORAL HEALTH-WOODBURY, WOODBURY, MN 55125-2273
(651) 254-8580
(651) 730-1700
Mailing address
8170 33RD AVE S, MS21110Q, MINNEAPOLIS, MN 55425-4516
(952) 883-5375
(651) 730-1700

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35101
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
811818300
MN
Enumeration date
02/03/2006
Last updated
12/05/2011
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