Individual
DR. TAMMY ANNE CHIESA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2620 EAGAN WOODS DR STE 100, EAGAN, MN 55121-1138
(651) 968-5201
(651) 968-5903
Mailing address
710 COMMERCE DR STE 200, WOODBURY, MN 55125-4925
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36072
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144093400
—
MN
01
—
36072
MEDICAL LICENSE
MN
Enumeration date
10/14/2006
Last updated
08/01/2023
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