Individual
TAMMY L MEYERHOFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1520 NORTHWAY COURT, CENTRACARE CLINIC HEARTLAND, ST CLOUD, MN 56303
(320) 251-1775
(320) 240-3131
Mailing address
1520 NORTHWAY COURT, CENTRACARE CLINIC HEARTLAND, ST CLOUD, MN 56303
(320) 251-1775
(320) 240-3131
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
43732
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0113564
MEDICA HEALTH PLANS
—
01
—
1034423
PREFERRED ONE
—
01
—
140306
U CARE
—
01
—
1834156
ARAZ GRP/AMERICA'S PPO
—
01
—
2116672
FIRST HEALTH PLAN
—
01
—
374J9NE
BLUE CROSS BLUE SHIELD
—
01
—
610970500
MEDICAL ASSISTANCE
—
01
—
HP38793
HEALTH PARTNERS
—
Enumeration date
10/31/2005
Last updated
11/29/2011
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