Individual
TARA DOYLE TREDENNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3600 MINNESOTA DR STE 800, EDINA, MN 55435-7915
(952) 595-1100
Mailing address
3600 MINNESOTA DR STE 800, EDINA, MN 55435-7915
(952) 595-1100
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
45747
AZ
2085R0202X
Diagnostic Radiology Physician
DR.0054036
CO
390200000X
Student in an Organized Health Care Education/Training Program
MT190102
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
719989
—
AZ
Enumeration date
06/23/2007
Last updated
12/17/2025
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