Individual
SARA JANE TYREE
Active
Individual
SARA JANE TYREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
30861
MN
207Q00000X
Family Medicine Physician
69579
MN
207R00000X
Internal Medicine Physician
Primary
69579
MN
Other
Enumeration date
04/07/2020
Last updated
11/13/2024
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