Tara J Federly
Medical Specialty
Professional ID
- NPI: 1164683835
- PECOS ID: 2264675719
- Enrollment ID: I20161208000975
- Credential(MD, DO, DPM):
- Medical School: University Of Minnesota Medical School
- Medical School Graduation Year: 2008
Hospital Service
- Hospital CCN1: 240080
- Business Name (LBN)1: University Of Minnesota Medical Center, Fairview
Medical Practices
- Organization Name: Advancements In Allergy And Asthma Care Ltd
- Group Practice ID assigned by PECOS: 9830176502
- Number of Group Practice member: 5
Location
- Address1: 12450 Wayzata Blvd
- Address2: Suite 215
- City: Minnetonka
- State: Minnesota
- Zip Code: 55305
- Phone Number: (952)546-6866
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):