Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michael C Tan, MD

Individual provider Anesthesiology Physician · NPI 1386935500

Dr. Michael C Tan, MD is an Anesthesiology in Saint Cloud, Minnesota. Qualified in 2005, 21 years ago. Practices with Centracare Clinic, a 782-clinician group and accepts Medicare assignment. Licensed in Maine, Minnesota, New Hampshire and Virginia and 1 more.

Years since qualifying
21
Licensed in
ME, MN, NH, VA, WI
In the registry since
2011
Specialties on file
6
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

3701 12th St N Ste 202
Saint Cloud, MN 56303-2253
Phone: (320) 258-3090
Fax: (320) 258-3095
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 60120 (MN)
Anesthesiology Physician Taxonomy 207L00000X · Licence 57414-20 (WI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 15555 (NH)
Internal Medicine Physician Taxonomy 207R00000X · Licence 018923 (ME)
Internal Medicine Physician Taxonomy 207R00000X · Licence 0101249917 (VA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 57414-20 (WI)

Record details

NPI number1386935500
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 21, 2011
Last updated in NPPESJanuary 9, 2016
Mailing address3701 12th St N Ste 202, Saint Cloud, MN 56303-2253

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Centracare Clinic — 782 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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