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Contact Information

TAMMY M DANIELSON, PA-C
5615 XERXES AVE N
BROOKLYN CENTER, MN55430
 Phone: 763-581-5630
 Fax: 763-581-5631
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for TAMMY M DANIELSON · (Female)

NPI Number 1588138770
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 01/22/2019
Last updated 03/28/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s)
  • NORTH MEMORIAL MEDICAL CENTER - (Acute Care)
    3300 OAKDALE NORTH
    ROBBINSDALE, MN 55422
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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