Individual
TODD MICHAEL TUTTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
424 HARVARD ST SE, MMC 195, MINNEAPOLIS, MN 55455
(612) 273-5700
(612) 273-9675
Mailing address
420 DELAWARE STREET SE MMC 195, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55455-0341
(612) 273-5700
(612) 273-9675
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
39250
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025A9TU
BLUE CROSS BLUE SHIELD
MN
01
—
1020726
PREFERRED ONE
MN
01
—
114546
UCARE
MN
01
—
1168373
ARAZ
MN
01
—
17-00452
MEDICA CHOICE
MN
01
—
17-00869
MEDICA PRIMARY
MN
05
—
246023800
—
MN
01
—
322016
FAIRVIEW
MN
01
—
HP19413
HEALTH PARTNERS
MN
Enumeration date
09/26/2006
Last updated
06/08/2015
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