Tabitha Marie Tate
Pediatrics | Female
Tabitha Marie Tate is a Minneapolis, Minnesota based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Tabitha Marie Tate is
2450 Riverside Ave # Ao-401, Minneapolis, Minnesota - 55454-1450. She can be contacted on phone at
612-626-2958.
Tabitha Marie Tate is a sole proprietor of her business.
NPI number (Unique professional ID) for Tabitha Marie Tate is
1538621982 which was assigned by NPPES on 04 Apr, 2019 and it was last updated on 28 Aug, 2022.
Tabitha Marie Tate license number is
71593 for Pediatrics (208000000X) in Minnesota.
Tabitha Marie Tate is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Tabitha Marie Tate basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Tabitha Marie Tate |
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| Gender : | Female |
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Business Address:
Tabitha Marie Tate address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2450 Riverside Ave # Ao-401
Minneapolis, MN, 55454-1450
United States |
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| Phone Number : | 612-626-2958 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1538621982 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 04 Apr, 2019 |
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| Last Updated On : | 28 Aug, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tabitha Marie Tate are as mentioned. Primary taxonomy code for Tabitha Marie Tate is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 125074103 | IL |
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | IL |
| 208000000X | Pediatrics | Yes | 71593 | MN |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
1675 DEMPSTER ST,
PARK RIDGE, IL, 60068-1110
United States | PARK RIDGE, IL | 847-318-9300 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1619 James Ave
Saint Paul, MN, 55105-2110
United States |
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| Phone Number : | 608-417-0140 |
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Business Location:
Patients can refer following map for directions to
Tabitha Marie Tate practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.