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Individual

TAMARA S LANGEBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(612) 863-3900
Mailing address
PO BOX 43, MR 10809, MINNEAPOLIS, MN 55440-0043
(612) 262-4813
(612) 262-4194

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
R130953-5
MN
363L00000X
Nurse Practitioner
Primary
2325
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
971433200
MN
Enumeration date
03/23/2006
Last updated
11/10/2020
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