Tegan Nicole John, D.O.
Hospitalist in Brainerd, MN. Individual provider (NPI-1).
NPI number1669905337
StatusActive
Last updated in NPPESJul 14, 2020
Details
- NPI
- 1669905337
- Entity type
- Individual (NPI-1)
- Name
- Tegan Nicole John
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 9, 2017
- Certification date
- Jul 14, 2020
- Last updated
- Jul 14, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 66083 | MN | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
523 N 3rd StBrainerd, MN 56401-3054
Phone 218-829-2861 · Fax 218-828-3103
Mailing address
1702 University Dr SFargo, ND 58103-4940
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Other Hospitalist Physician providers in Brainerd, MN
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All 6 Hospitalist Physician providers in Brainerd · All 787 providers in Brainerd
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