Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES PAUL TABOR, MD
ActiveCHARLES PAUL TABOR, MD is a Family Medicine healthcare provider located in GRAND RAPIDS, Minnesota. NPI 1740719640 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · GRAND RAPIDS, MN
Registration Details
- NPI Number
- 1740719640
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 6, 2017 (9.1911741071501 yrs)
- Last Updated
- Nov 12, 2021
- Licenses
-
64365 (MN)1740719640 (MN)
Practice Information
- Address
-
1601 GOLF COURSE RDGRAND RAPIDS, MN, 557448648Browse MN providers · Browse ZIP 55744
- Phone
- 2189991911
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in GRAND RAPIDS, MN
| Name | Credential | NPI |
|---|---|---|
| DR. JACK VICTOR CARLISLE | MD | 1326023060 |
| DR. PATRICIA C. CARLIN-JANSSEN | MD | 1033195805 |
| DR. CATHY J. CLEARY | MD | 1811973670 |
| DR. EDWIN A. ANDERSON | MD | 1083691828 |
| DR. CARY R. COLE-ANTHONY | MD | 1437136090 |
| DR. SCOTT GERLING | MD | 1912984550 |
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.