Individual
ABIGAIL THERESE TARASEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 422-0430
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
33656
MN
2084P0800X
Psychiatry Physician
Primary
77762
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33565
—
MN
Enumeration date
04/21/2023
Last updated
08/27/2024
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