Teresa Dewald I

NPI #1033560321 in Tawas City, Michigan

Provider Information

NPI Number: 1033560321
Entity Type: Individual
Name: Teresa Dewald I
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Jun 28, 2016
Last Updated: Jun 28, 2016

Practice Location

Address: 2582 CHAMBERLIN DR
City: Tawas City
State: Michigan
ZIP Code: 48763-9604
Phone: (989) 820-2221

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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