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Contact Information

TONYA J TIDWELL, PA-C
1025 MARSH ST
MANKATO, MN56001
 Phone: 507-625-4031
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for TONYA J TIDWELL · (Female)

NPI Number 1558660472
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 03/17/2011
Last updated 01/30/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 10988
Hospital affiliation(s) Not Available
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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