AUTUMN SUE TIES

SAINT PAUL, MN
NPI1871177501
Former NameAUTUMN SUE PACE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: MN  74346)
Enumeration Date2021-05-09
Last Update Date2023-12-14
Business Address
AUTUMN SUE TIES MD
640 JACKSON ST
SAINT PAUL, MN 55101-2502
Phone number: 651-254-3456
Mailing Address
AUTUMN SUE TIES MD
640 JACKSON ST
SAINT PAUL, MN 55101-2502
Phone number: 651-254-3456
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