Chiesa, Tammy Anne

Chiesa, Tammy Anne is an individual health care provider with primary practice located at 2620 Eagan Woods Dr Ste 100 , Eagan MN 55121-1138. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Chiesa, Tammy Anne can be contacted via phone (651) 968-5201.

Contact Information

Primary practice address
2620 Eagan Woods Dr Ste 100 Eagan MN 55121-1138
Phone: (651) 968-5201
Fax: (651) 968-5903
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 36072 Minnesota

Profile Details

NPI number 1992895304
LBN Legal business name Chiesa, Tammy Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2006
Last updated Aug 1st, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992895304 NPPES
Minnesota MEDICAID 144093400
Minnesota Other 36072

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