Physician Compare National (NPI:1891183661)

HEALTHCARE PROVIDER: KIAJA TOLZMANN DC

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1891183661
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2860718624
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150313001195
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	UNDERSANDER
	Individual professional last name
Provider First Name	KIAJA
	Individual professional first name
Provider Middle Name	R
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2014
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	13352 ABERDEEN ST NE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE A
	Group Practice or individual's line 2 address
City	HAM LAKE
	Group Practice or individual's city
State	MN
	Group Practice or individual's state
Zip Code	553046877
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	M