MR. Gary A Tennison, DO

NPI #1518946813 in Robinson, Illinois

Provider Information

NPI Number: 1518946813
Entity Type: Individual
Name: MR. Gary A Tennison, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Jan 13, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1101 N ALLEN ST
City: Robinson
State: Illinois
ZIP Code: 62454-1168
Phone: (618) 544-3125

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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