Tanner Kimber, ATC Valid NPI

Individual provider · Sports Medicine (Emergency Medicine) Physician · Bloomington, MN

NPI

1629470992

Type

Individual (Type 1)

Primary specialty

Sports Medicine (Emergency Medicine) Physician (Emergency Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207PS0010X

License number

2000017447 (MN)

Sex

Male

Sole proprietor

No

Enumerated

2014-09-18

Last updated

2014-09-18