MEDICARE: DR. KARIN M TANSEK MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	28997	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073583696
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KARIN M TANSEK MD

Provider Business Mailing Address
First Line	:	3366 OAKDALE AVE N
Second Line	:	150
City	:	ROBBINSDALE
State	:	MN
Zip	:	55422-2948
Country	:	US
Telephone Number	:	763-520-7840
Fax Number	:	763-520-1578

Provider Business Practice Location Address
First Line	:	3366 OAKDALE AVE N
Second Line	:	150
City	:	ROBBINSDALE
State	:	MN
Zip	:	55422-2948
Country	:	US
Telephone Number	:	763-520-7840
Fax Number	:	763-520-1578

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2006
Last Update Date	:	02/24/2014

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