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Tera White
NPI 1023311412 · on the registry since 2010 · sole proprietor
Practice
- Address
- 1400 73rd Ave Ne
Health Center
Fridley, MN 55432 - Phone
- (763) 574-5000
- Fax
- (763) 528-7234
- Organisation at this address
- Premise Health Of Minnesota Medical Pc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Also registered as
- 225XP0019X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-12-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota