National Provider Identifier Database

MARLIEKE VAN TYN, MD – NPI #1487731527
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

MARLIEKE VAN TYN, MD
233 GRAND AVE
PEDIATRIC AND YOUNG ADULT MEDICINE, PA
SAINT PAUL, MN55102-2331
Phone: 651-227-7806
Fax: 651-256-6710
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X
Emergency Medicine 207P00000X
Pediatric Emergency Medicine 207PP0204X
Pediatric Emergency Medicine 2080P0204X

* Indicates primary specialty

NPI Profile & details for MARLIEKE VAN TYN

NPI Number 1487731527
Credentials MD
Entity Individual
Enumeration date 11/01/2006
Last updated 05/06/2008 - About 18 years ago
Sole proprietor1 No
Identifiers
  • MN License #: 42369
  • MN Medicaid: 086670900
  • WI Medicaid: 34134900
Hospital affiliation n/a

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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