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Individual

DR. TAMMY R. FIMRITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
203 PARK AVE S, SUITE 101, SAINT CLOUD, MN 56301-3779
(320) 253-5650
Mailing address
203 PARK AVE SOUTH, ST. CLOUD, MN 56301
(320) 253-5650

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4006
MN
171100000X
Acupuncturist
862
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0016J
HSM ELECT
MN
01
181M9FI
BCBS
MN
01
350002764
RAILROAD
MN
05
624731800
MN
01
625801
CHIROCARE
MN
Enumeration date
12/27/2005
Last updated
01/11/2020
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