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
- City
- Maple Grove
- State
- Minnesota
- ZIP Code
- 55369-7075
- Phone
- (952) 841-2345
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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