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NPI Code Detail

MEDICARE: TOBIE J. MEYER PA

MEDICARE: TOBIE J. MEYER PA
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
1363AS0400XSurgical Physician Assistant829TN
2363AM0700XMedical Physician Assistant10615MN

General Provider Information

NPI Number : 1316995715
Entity Type Code : Individual
Provider Name (Legal Business Name) : TOBIE J. MEYER PA
Provider Business Mailing Address
First Line : 8170 33RD AVE S # MS 21110Q
Second Line :
City : BLOOMINGTON
State : MN
Zip : 55425-4516
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9555 UPLAND LN N
Second Line :
City : MAPLE GROVE
State : MN
Zip : 55369-4485
Country : US
Telephone Number : 952-993-1440
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2006
Last Update Date : 04/17/2026

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Directions to “ TOBIE J. MEYER PA” Practice Location

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