Provider Demographics
NPI:1588277677
Name:EMILY TONKIN, LLC
Entity type:Organization
Organization Name:EMILY TONKIN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:TONKIN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:612-254-2527
Mailing Address - Street 1:4718 XERXES AVE N
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55430-3732
Mailing Address - Country:US
Mailing Address - Phone:952-217-6750
Mailing Address - Fax:
Practice Address - Street 1:825 NICOLLET MALL STE 1246
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55402-2702
Practice Address - Country:US
Practice Address - Phone:612-254-2527
Practice Address - Fax:612-354-4537
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-28
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty