Individual provider · Type 1 NPI
Tiffaney Jo Hammer, PA-C
Surgical Physician Assistant · Coon Rapids, MN
NPI number
1649424078
Active
Practice location
11850 Blackfoot NW, Suite 100
Coon Rapids, MN 55433-2569
Fax (763) 721-2190
Mailing address
2550 University Ave W Ste 110N
St. Paul, MN 55114-2001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 10460 (MN) |
| Surgical Physician Assistant Primary | 363AS0400X | 10460 (MN) |
Surgical Physician Assistant: Definition to come...
3 other providers at this address
Other surgical physician assistant providers in Coon Rapids
About NPI 1649424078
Tiffaney Jo Hammer, PA-C's National Provider Identifier is 1649424078, issued on Nov 12, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Coon Rapids, MN. The record was last updated on Nov 29, 2017.