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Individual

TANYA C MULLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6490 EXCELSIOR BLVD, SUITE E111, ST LOUIS PARK, MN 55426-4705
(952) 993-3528
Mailing address
6465 WAYZATA BLVD, SUITE 315, ST LOUIS PARK, MN 55426-1728

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R-155072-4
MN
367A00000X
Advanced Practice Midwife
Primary
11275
MN

Other

Enumeration date
06/04/2006
Last updated
08/21/2012
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