| Tamber | |
|
2657 Woodbridge Rd Wayzata MN 55391-9406 | |
| (855) 482-6237 | |
| (952) 405-9163 |
| Full Name | Tamber |
|---|---|
| Speciality | Psychologist - Prescribing (medical) |
| Location | 2657 Woodbridge Rd, Wayzata, Minnesota |
| Authorized Official Name and Position | James Ray Rundell (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8554826237 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tamber Po Box 178 Crystal Bay MN 55323-0178 Ph: (855) 482-6237 | Tamber 2657 Woodbridge Rd Wayzata MN 55391-9406 Ph: (855) 482-6237 |
| NPI Number | 1740683515 |
|---|---|
| Provider Enumeration Date | 10/07/2014 |
| Last Update Date | 10/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740683515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0016X | Psychologist - Prescribing (medical) | 47562 (Minnesota) | Primary |
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