person
Douglas Tate, MD
Pediatric Adolescent Medicine Physician in Edina, Minnesota
NPI 1659395283

Douglas Tate is a Pediatric Adolescent Medicine Physician based in Edina, MN and is specialized in Adolescent Medicine. Douglas Tate practices in Edina, MN and has the professional credentials of MD. The NPI Number for Douglas Tate is 1659395283 and holds a License No. 26159 (Minnesota).

The current practice location address for Douglas Tate is 6545 France Ave S, Edina, MN and can be reached out via phone at 952-920-9191 and via fax at 952-920-0232.

Location: 6545 France Ave S, Edina, MN, 55435-2131
person
Provider Profile Details
NPI Number
1659395283
Provider Name
Douglas Tate
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
6545 France Ave S, Edina, MN, 55435-2131
Phone Number
952-920-9191
Fax Number
952-920-0232
Provider Enumeration Date
07/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
17682TA 01 MN BLUE CROSS BLUE SHIELD
CP9020830005 01 PREFERRED ONE
1202983 01 MEDICA
institution
Provider Business Practice Location Address Details
Address
6545 France Ave S
City
State
Zip
55435-2131
Phone Number
952-920-9191
Fax Number
952-920-0232
person
Provider Business Mailing Address Details
Address
6545 France Ave S
City
State
Zip
55435-2131
Phone Number
952-920-9191
Fax Number
952-920-0232
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
License No.
26159 (Minnesota)
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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