| |
701 Dellwood St S Cambridge MN 55008-1920 | |
(763) 689-8700 | |
(763) 689-7941 |
Full Name | |
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Speciality | Obstetrics & Gynecology |
Location | 701 Dellwood St S, Cambridge, Minnesota |
Authorized Official Name and Position | Dominica Tallarico (COO) |
Authorized Official Contact | 6122222222 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 43 Mail Route 10860 Minneapolis MN 55440-0043 Ph: (612) 262-1166 | 701 Dellwood St S Cambridge MN 55008-1920 Ph: (763) 689-8700 |
NPI Number | 1720384175 |
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Provider Enumeration Date | 02/02/2011 |
Last Update Date | 03/22/2024 |
Medicare PECOS PAC ID | 4587573613 |
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Medicare Enrollment ID | O20120315000408 |
Identifier | Type | State | Issuer |
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1720384175 | NPI | - | NPPES |
Tango Vision, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 Balsam St N, Cambridge, MN 55008 Phone: 763-689-3774 Fax: 763-689-3792 |