Individual provider · Type 1 NPI

Annie Tan, MD

Gynecologic Oncology Physician · Coon Rapids, MN

NPI number 1750470696 Active

Practice location

11850 Blackfoot St NW, Suite 100
Coon Rapids, MN 55433-2598

Fax (763) 721-2190

Specialties and licenses

TaxonomyCodeLicense
Gynecologic Oncology Physician Primary 207VX0201X47116 (MN)

Gynecologic Oncology Physician: An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

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About NPI 1750470696

Annie Tan, MD's National Provider Identifier is 1750470696, issued on Oct 11, 2006. The primary taxonomy on file is Gynecologic Oncology Physician (207VX0201X), and the practice location is in Coon Rapids, MN. The record was last updated on Sep 23, 2015.