Most Relevant Information
Provider Data
| NPI Number: | 1003264441 |
| Provider Name: | CRAIG TANGEN |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | R 189887-1 |
Most Important Dates
| Enumeration Date: | 05/26/2016 |
| Last Updated: | 05/26/2016 |
Provider Practice Location
3701 12TH ST N
SUITE 202
SAINT CLOUD
MN
563032255
Practice Location Phone/Fax
| Phone: | 3202583090 |
| Fax: |
Provider Mailing Location
3701 12TH ST N
SUITE 202
SAINT CLOUD
MN
563032255
Provider Mailing Phone/Fax
| Phone: | 3202583090 |
| Fax: |