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

Tammy Gregerson, PA-C

Individual provider Physician Assistant · NPI 1629122767

Tammy Gregerson, PA-C is a Physician Assistant in Crystal, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5502 W Broadway Ave
Crystal, MN 55428-3508
Phone: (763) 504-6500
Fax: (763) 504-6544
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 945 (MN)

Record details

NPI number1629122767
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 23, 2007
Last updated in NPPESOctober 15, 2009
Mailing address5502 W Broadway Ave, Crystal, MN 55428-3508

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