Individual
TAMARA MARIE AMENDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1200 6TH AVENUE NORTH, CENTRACARE CLINIC RIVER CAMPUS HEART AND VASCULAR CENTE, ST CLODU, MN 56303-2735
(320) 656-7020
(320) 255-5943
Mailing address
1200 6TH AVENUE NORTH, CENTRACARE CLINIC RIVER CAMPUS HEART AND VASCULAR CENTE, ST CLOUD, MN 56303-2735
(320) 656-7020
(320) 255-5943
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11327
MN
363AS0400X
Surgical Physician Assistant
1902
MN
Other
Enumeration date
06/06/2013
Last updated
07/21/2022
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