TANNER KIMBER

BLOOMINGTON, MN
NPI1629470992
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207PS0010X Emergency Medicine, Sports Medicine
(Licence: MN  2000017447)
Enumeration Date2014-09-18
Last Update Date2014-09-18
Business Address
-- TANNER KIMBER ATC
8100 NORTHLAND DR
BLOOMINGTON, MN 55431-4800
Phone number: 952-806-5693
Mailing Address
-- TANNER KIMBER ATC
10523 FIRST TIMBERLANE DR
NORTHFIELD, MN 55057-4466
Phone number: 952-201-8978