Tanner Jesus Verduzco

NPI #1073276259 in Maple Grove, Minnesota

Provider Information

NPI Number
1073276259
Entity Type
Individual
Name
Tanner Jesus Verduzco
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant
Enumeration Date
Oct 14, 2021
Last Updated
Dec 21, 2023

Practice Location

Address
12000 ELM CREEK BLVD N STE 300
ZIP Code
55369-7075
Phone
(952) 841-2345

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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