Search › Minnesota › 1041C0700X
Tamara Wittrock
NPI 1255949459 · on the registry since 2020 · sole proprietor
Practice
- Address
- 410 Church St Se
Minneapolis, MN 55455 - Phone
- (612) 625-8400
- Fax
- (612) 677-3211
- Organisation at this address
- Regents Of The University Of Minnesota
Regents Of The University Of Minnesota
Regents Of The University Of Minnesota
Regents Of The University Of Minnesota
Regents Of The University Of MinnesotaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 150
Additional practice sites
- 1616 W Lake St, Minneapolis, MN
- 2055 White Bear Ave N Ste 125, Saint Paul, MN
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 390200000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-02-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota