Individual
TAMMY MCGRANE FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-4450
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-4450
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35659
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199223600
—
MN
05
—
34508600
—
WI
Enumeration date
12/05/2006
Last updated
05/19/2011
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