Healthcare Provider Details

I. General information

NPI: 1215019252
Provider Name (Legal Business Name): CATHERINE JOYCE TOUSEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/19/2006
Last Update Date: 04/23/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13773 NE 185TH AVE
FORESTON MN
56330-9625
US

IV. Provider business mailing address

13773 NE 185TH AVE
FORESTON MN
56330-9625
US

V. Phone/Fax

Practice location:
  • Phone: 320-968-3300
  • Fax:
Mailing address:
  • Phone: 320-968-3300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: