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Contact Information

ANNIE TAN, MD
11850 BLACKFOOT ST NW
SUITE 100
COON RAPIDS, MN55433-2598
 Phone: 763-721-2100
 Fax: 763-721-2190
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecologic Oncology

207VX0201X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for ANNIE TAN · (Female)

NPI # 1750470696
Status Active
Credentials MD
Entity Individual
Enumeration date 10/11/2006
Last updated 09/23/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 47116
  • MN Other 2368961 ARAZ
  • MN Other 815T5TA BCBS
  • MN Other 83694-0 FAIRVIEW
  • MN Other HP53303 HEALTHPARTNERS
  • MN Other 07-05956 MEDICA
  • MN Other 961141050294 PREFERREDONE
  • MN Other 132945 UCARE
Hospital affiliation(s)
  • MERCY HOSPITAL - (Acute Care)
    4050 COON RAPIDS BLVD
    COON RAPIDS, MN 55433
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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