Individual
DR. TABB MCCLUSKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
501 E LINCOLN ST, HENDRICKS, MN 56136-0026
(507) 275-3121
(507) 275-3194
Mailing address
PO BOX 26, 501 E LINCOLN ST, HENDRICKS, MN 56136-0026
(507) 275-3121
(507) 275-3194
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31058
MN
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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