Petrac-Halatsis, Tamara Piroska

Petrac-Halatsis, Tamara Piroska is an individual health care provider with primary practice located at 5200 Fairview Boulevard Ob/Gyn Department, Wyoming MN 55092. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Petrac-Halatsis, Tamara Piroska can be contacted via phone (651) 982-7670.

Contact Information

Primary practice address
5200 Fairview Boulevard Ob/Gyn Department Wyoming MN 55092
Phone: (651) 982-7670
Fax: (651) 982-7675
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME94155 Florida
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 53965 Minnesota

Profile Details

NPI number 1902851876
LBN Legal business name Petrac-Halatsis, Tamara Piroska
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Nov 9th, 2011 - about 13 years ago

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1902851876 NPPES
Florida MEDICAID 274695600

Popular Providers