Individual
PAUL M. TANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9801 DUPONT AVE S STE 425, BLOOMINGTON, MN 55431-3873
(952) 888-5800
(529) 567-6176
Mailing address
9801 DUPONT AVE S STE 425, BLOOMINGTON, MN 55431-3873
(952) 888-5800
(529) 567-6176
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
020832
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
974207700
—
MN
Enumeration date
02/02/2006
Last updated
09/06/2018
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