Individual
CARINE TIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
755 CROSSROADS CAMPUS DR NE, BUFFALO, MN 55313-5074
(763) 684-6300
(763) 684-6305
Mailing address
755 CROSSROADS CAMPUS DR NE, BUFFALO, MN 55313-5074
(763) 684-6300
(763) 684-6305
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10997
MN
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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