MEDICARE: DR. TIFFANY K. WEIDNER M.D.

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	208600000X	Surgery Physician	52991	AZ
2	2086S0102X	Surgical Critical Care Physician	T1602	TX
3	208600000X	Surgery Physician	T1602	TX
4	208600000X	Surgery Physician	81314	MN

General Provider Information

NPI Number	:	1447637350
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TIFFANY K. WEIDNER M.D.

Provider Business Mailing Address
First Line	:	920 E 28TH ST STE 460
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55407-1139
Country	:	US
Telephone Number	:	612-863-7770
Fax Number	:

Provider Business Practice Location Address
First Line	:	920 E 28TH ST STE 460
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55407-1139
Country	:	US
Telephone Number	:	612-863-7770
Fax Number	:	612-863-7772

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

Provider Enumeration Date	:	04/29/2015
Last Update Date	:	05/06/2026

Similar Medicare Providers

1033191200 — JASON JAMES RASMUSSEN M.D.
Practice Location Address:

920 E 28TH ST , SUITE 300
MINNEAPOLIS, MN
55407-1139

Practice Phone: 612-863-6800
Practice Fax:

1528042207 — MS. AMY KLINE F.N.P.
Practice Location Address:

920 E 28TH ST , SUITE #300
MINNEAPOLIS, MN
55407-1139

Practice Phone: 612-863-3963
Practice Fax: 612-863-1681

1063484061 — TIMOTHY MICHAEL SULLIVAN MD
Practice Location Address:

920 E 28TH ST
MINNEAPOLIS, MN
55407-1139

Practice Phone: 612-863-6800
Practice Fax:

1558320283 — CRAIG L. BOWRON MD
Practice Location Address:

920 E 28TH ST , SUITE 190
MINNEAPOLIS, MN
55407-1139

Practice Phone: 612-863-1893
Practice Fax: 612-863-3809

1932168820 — JULIE JO HENSELER MD
Practice Location Address:

920 E 28TH ST , SUITE 190
MINNEAPOLIS, MN
55407-1139

Practice Phone: 612-863-1893
Practice Fax: 612-863-3809

1770542466 — LAUREL J. LARSEN MD
Practice Location Address:

920 E 28TH ST , SUITE 190
MINNEAPOLIS, MN
55407-1139

Practice Phone: 612-863-1893
Practice Fax: 612-863-3809

Directions to “ DR. TIFFANY K. WEIDNER M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.