Thomas R Tetzlaff in Minneapolis - Pediatric Critical Care Medicine
Thomas R Tetzlaff - NPI 1790733582
Thomas R Tetzlaff is a Pediatric Critical Care Medicine in Minneapolis, Minnesota. Thomas R Tetzlaff practices all healthcare services and medical treatments related to Pediatric Critical Care Medicine. The NPI Number for Thomas R Tetzlaff is 1790733582. The last update date is 2008-11-13.
Thomas R Tetzlaff's current location address is Po Box 1450, Minneapolis, Minnesota. You can contact this provider via phone number 8002791395 and fax number 5176946441. The mailing address for Thomas R Tetzlaff is Po Box 1450, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas R Tetzlaff |
|---|---|
| Address | Po Box 1450, Minneapolis, Minnesota |
| Phone Number | 8002791395 |
| Fax Number | 5176946441 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1790733582 |
|---|---|
| Provider Enumeration Date | 2006-05-04 |
| Last Updated Date | 2008-11-13 |
Provider Mailing Address Detail
| Address | Po Box 1450 |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554850090 |
| Phone Number | 8002791395 |
| Fax Number | 5176946441 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Critical Care Medicine |
|---|---|
| Taxonomy | 2080P0203X |
| Licence No | 3374 |
|
Definition: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surg |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2016073 | NV | -- | |
| 1790733582 | MN | -- | |
| 6701390 | SD | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Thomas R Tetzlaff by the Centers for Medicare & Medicaid Services?
The Thomas R Tetzlaff has been assigned the NPI (National Provider Identifier) 1790733582. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Thomas R Tetzlaff is located?
The Thomas R Tetzlaff is situated at the following address: Po Box 1450, Minneapolis, MN, 554850090.
What is the Thomas R Tetzlaff's area of specialization and corresponding taxonomy classification?
The Thomas R Tetzlaff's specialty field is Pediatric Critical Care Medicine, and it falls under the taxonomy code 2080P0203X, which categorizes healthcare providers based on their specialties.
When did Thomas R Tetzlaff receive its 1790733582 assignment?
The Thomas R Tetzlaff was assigned its 1790733582 on 2006-05-04, which is the date when this unique identifier was issued to the organization.
As of what date were the Thomas R Tetzlaff's details last updated?
The information pertaining to the Thomas R Tetzlaff, including its address, specialty, and other details, was most recently updated on 2008-11-13.