Individual
DR. ANDREA LYN TIPPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
921 GREELEY ST S, STILLWATER, MN 55082-5935
(651) 439-1234
(651) 439-1547
Mailing address
1500 CURVE CREST BLVD W, STILLWATER, MN 55082-6040
(651) 439-1234
(651) 439-1547
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
28999
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30729500
—
WI
05
—
607780300
—
MN
Enumeration date
12/21/2005
Last updated
08/13/2018
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