Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOUGLAS TATE, M.D.
ActiveDOUGLAS TATE, M.D. is a Adolescent Medicine (Pediatrics) healthcare provider located in EDINA, Minnesota. NPI 1659395283 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine (Pediatrics) · EDINA, MN
Registration Details
- NPI Number
- 1659395283
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 27, 2006 (20.078539456701 yrs)
- Last Updated
- Jul 8, 2007
- License
-
26159 (MN)
Practice Information
- Address
-
6545 FRANCE AVE SSUITE 400EDINA, MN, 554352131Browse MN providers · Browse ZIP 55435
- Phone
- 9529209191
- Fax
- 9529200232
- Primary Specialty
-
Adolescent Medicine (Pediatrics)
2080A0000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.