Tammy Gregerson, P.A.-C

NPI #1629122767 in Crystal, Minnesota

Provider Information

NPI Number
1629122767
Entity Type
Individual
Name
Tammy Gregerson, P.A.-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
P.A.-C
Enumeration Date
Jan 23, 2007
Last Updated
Oct 15, 2009

Practice Location

Address
5502 W BROADWAY AVE
ZIP Code
55428-3508
Phone
(763) 504-6500

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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