Individual
JONATHAN C. TALLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5700 BOTTINEAU BLVD, SUITE 100, MINNEAPOLIS, MN 55429-3183
(763) 504-6500
(763) 537-1972
Mailing address
5700 BOTTINEAU BLVD, SUITE 100, MINNEAPOLIS, MN 55429-3183
(763) 504-6500
(763) 537-1972
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38349
MN
Other
Enumeration date
02/21/2006
Last updated
06/28/2012
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