MR. CHRISTOPHER JOHN TOLAN MD NPI 1043256357

NPI Information

NPI: 1043256357
Provider Name: MR. CHRISTOPHER JOHN TOLAN, MD
Classification: Otolaryngology - 207YS0123X
Entity Type: Individual

Specialization: Facial Plastic Surgery

PECOS Registration: Yes

Address:
2080 WOODWINDS DRIVE
#240
WOODBURY, MN
ZIP 55125
Phone: (651) 702-0750
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MR. Christopher John Tolan, MD is a facial plastic surgery otolaryngology in Woodbury, MN with 33 years of experience. The provider is an otolaryngologist who specializes in facial plastic surgery. MR. Christopher John Tolan, MD NPI is 1043256357. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year:1991

The provider's business location address is:

2080 WOODWINDS DRIVE
#240
WOODBURY, MN
ZIP 55125
Phone: (651) 702-0750
Fax: (651) 702-0749

The NPI 1043256357 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/22/2006 and was last updated on 8/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208600000X	Surgery		36117	MINNESOTA	No
2	207YS0123X	Otolaryngology	Facial Plastic Surgery	36117	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	286325100	MEDICAID	MINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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