Provider Demographics
NPI:1730137829
Name:TUOMINEN, KAI ADAM (MD)
Entity Type:Individual
Prefix:
First Name:KAI
Middle Name:ADAM
Last Name:TUOMINEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3328 JANSEN WAY
Mailing Address - Street 2:
Mailing Address - City:VADNAIS HEIGHTS
Mailing Address - State:MN
Mailing Address - Zip Code:55127-5126
Mailing Address - Country:US
Mailing Address - Phone:651-766-8642
Mailing Address - Fax:
Practice Address - Street 1:1655 BEAM AVENUE
Practice Address - Street 2:SUITE 302 MAPLEWOOD PROF BLDG
Practice Address - City:MAPLEWOOD
Practice Address - State:MN
Practice Address - Zip Code:55109-1126
Practice Address - Country:US
Practice Address - Phone:651-227-6351
Practice Address - Fax:651-227-1134
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2015-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN44857207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNI10008Medicare UPIN