Tammy Gregerson in Crystal - Physician Assistant
Tammy Gregerson - NPI 1629122767
Tammy Gregerson is a Physician Assistant in Crystal, Minnesota. Tammy Gregerson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Tammy Gregerson is 1629122767. The last update date is 2009-10-15.
Tammy Gregerson's current location address is 5502 W Broadway Ave, Crystal, Minnesota. You can contact this provider via phone number 7635046500 and fax number 7635046544. The mailing address for Tammy Gregerson is 5502 W Broadway Ave, Crystal, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tammy Gregerson |
|---|---|
| Address | 5502 W Broadway Ave, Crystal, Minnesota |
| Phone Number | 7635046500 |
| Fax Number | 7635046544 |
| Sole Proprietor | N |
| Credentials | P.A.-C |
NPI Number Detail
| NPI Number | 1629122767 |
|---|---|
| Provider Enumeration Date | 2007-01-23 |
| Last Updated Date | 2009-10-15 |
Provider Mailing Address Detail
| Address | 5502 W Broadway Ave |
|---|---|
| City | Crystal |
| State | Minnesota (MN) |
| Post Code | 554283508 |
| Phone Number | 7635046500 |
| Fax Number | 7635046544 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 945 |
|
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Tammy Gregerson by the Centers for Medicare & Medicaid Services?
The Tammy Gregerson has been issued the NPI (National Provider Identifier) 1629122767 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Tammy Gregerson's physical address?
The Tammy Gregerson is physically located at 5502 W Broadway Ave, in the city of Crystal, MN, with the postal code 554283508.
What is the Tammy Gregerson's area of specialization and corresponding taxonomy classification?
The Tammy Gregerson's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1629122767 assigned to Tammy Gregerson?
The Tammy Gregerson was issued its 1629122767 on 2007-01-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Tammy Gregerson most recently updated?
The details pertaining to the Tammy Gregerson, including its address, specialty, and other relevant information, were last refreshed on 2009-10-15.