Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | A89791 | CA |
N | 2086S0105X | Surgery of the Hand | 103805 | MN |
Y | 2086S0105X | Surgery of the Hand | 51032 | MN |
NPI | 1700910130 |
---|---|
Provider Name | Tamara Alexandrov |
First Address | Rochester, MN 55904-6756 |
Second Address | Rochester, MN 55904-6756 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2007 |
Last Update Date | 28/09/2011 |