Dr. Jean Kathryn Tiffany, M.D.
Family Medicine in Chanhassen, MN. Individual provider (NPI-1).
NPI number1801154752
StatusActive
Last updated in NPPESSep 20, 2016
Details
- NPI
- 1801154752
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jean Kathryn Tiffany
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 29, 2012
- Last updated
- Sep 20, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 56748 | MN | Yes |
Practice location
300 Lake Dr EChanhassen, MN 55317-9302
Phone 952-993-0368
Mailing address
300 Lake Dr EChanhassen, MN 55317-9302
Phone 952-993-0368
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