IndividualActive
Annie Tan, MD
NPI 1750470696 · Gynecologic Oncology Physician · Coon Rapids, MN
Provider details
- NPI number
- 1750470696
- Entity type
- Individual
- Primary specialty
- Gynecologic Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 47116 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
11850 Blackfoot St Nw
Suite 100
Coon Rapids, MN 55433-2598
Phone: (763) 721-2100
Fax: (763) 721-2190
Approximate (ZIP-level) locationGet directions
Mailing address
11850 Blackfoot St Nw
Coon Rapids, MN 55433-2598
Registry dates
- Enumerated
- 2006-10-11
- Last updated
- 2015-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.