Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 34566 | MN |
N | 111NI0900X | Internist | 34566 | MN |
N | 207U00000X | Nuclear Medicine Specialist | 31566 | MN |
NPI | 1699854893 |
---|---|
Provider Name | Dr. Tanni Lynn Stone-Dorshow |
First Address | Minnetonka, MN 55305 |
Second Address | Minnetonka, MN 55305 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2006 |
Last Update Date | 08/07/2007 |