Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 60936 | MN |
N | 207X00000X | Orthopaedic Surgeon | MD432174 | PA |
NPI | 1033213376 |
---|---|
Provider Name | Dr. Jennifer Taniguchi |
First Address | Minnetonka, MN 55305-1831 |
Second Address | Glenwood, MN 56334-1820 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2006 |
Last Update Date | 10/09/2020 |