Bonnie Jo Dziesinski, PA

NPI #1871893594 in Maryville, Tennessee

Provider Information

NPI Number: 1871893594
Entity Type: Individual
Name: Bonnie Jo Dziesinski, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Oct 27, 2010
Last Updated: Dec 11, 2021

Practice Location

Address: 2217 E LAMAR ALEXANDER PKWY
City: Maryville
State: Tennessee
ZIP Code: 37804-5311
Phone: (865) 982-0835

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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