Janet K Tillisch, MD

NPI #1417988163 in Fargo, North Dakota

Provider Information

NPI Number: 1417988163
Entity Type: Individual
Name: Janet K Tillisch, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: Jul 5, 2006
Last Updated: Nov 3, 2011

Practice Location

Address: 1702 UNIVERSITY DR S
City: Fargo
State: North Dakota
ZIP Code: 58103-4940
Phone: (701) 364-3300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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