Dean Tajnai NP

NPI 1063422467 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1063422467
Gender Male
Enumeration Date 08/08/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3811 SPRING ST
RACINE WI, 53405-1667, US
Phone (262) 687-8374
Fax
Business Location
3811 SPRING ST
RACINE WI, 53405-1667, US
Phone (262) 687-8374
Fax
Toxanomy
Taxonomy Code 363L00000X
License State Wisconsin
License Number 2507
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According to our database, Dean Tajnai NP NPI is 1063422467, taxonomy code is 363L00000X and license number is 2507, license state is located at Wisconsin. Dean Tajnai NP physically located at 3811 Spring St, Racine WI, 53405-1667. NPI Number Dean Tajnai NP has the Individual type.

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1063422467 NPI number is provided on an as is basis without warranty of any kind. 1063422467 is maintained by the National Plan & Provider Enumeration System. The contents of Dean Tajnai NP are for informational purposes only.