Individual
TANNER KIMBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
8100 NORTHLAND DR, BLOOMINGTON, MN 55431-4800
(952) 806-5693
Mailing address
10523 FIRST TIMBERLANE DR, NORTHFIELD, MN 55057-4466
(952) 201-8978
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
2000017447
MN
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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