TAMMY GREGERSON, P.A.-C

Physician Assistant

Active Individual
NPI: 1629122767

Practice Address

5502 W BROADWAY AVE
Crystal, MN 55428

Phone: (763) 504-6500

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes 945 (MN)

Frequently Asked Questions

NPI 1629122767 is the National Provider Identifier for TAMMY GREGERSON, P.A.-C, a Physician Assistant provider located in Crystal, MN. This NPI was enumerated on January 23, 2007.
TAMMY GREGERSON, P.A.-C practices at 5502 W BROADWAY AVE, Crystal, MN 55428.

Quick Facts

NPI
1629122767
Type
Individual
Enumerated
Jan 23, 2007
Last Updated
Oct 15, 2009

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