Individual
DR. JEAN KATHRYN TIFFANY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 LAKE DR E, CHANHASSEN, MN 55317-9302
(952) 993-0368
Mailing address
300 LAKE DR E, CHANHASSEN, MN 55317-9302
(952) 993-0368
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
56748
MN
Other
Enumeration date
04/29/2012
Last updated
09/20/2016
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