Individual
THOMAS TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN CRNA
Contact information
Practice address
3701 12TH ST N, SUITE 202, SAINT CLOUD, MN 56303-2255
(320) 258-3090
Mailing address
3701 12TH ST N, SUITE 202, SAINT CLOUD, MN 56303-2255
(320) 258-3090
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R 173900-8
MN
Other
Enumeration date
07/20/2016
Last updated
01/26/2017
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