Tiernan Mcilwaine

NPI 1265701759 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1265701759
Gender Male
Enumeration Date 12/29/2011
Last Updated 12/29/2011
Entity Type Individual
Active Over 4 years ago
Practice Location
3719 DOVER RD
CHEYENNE WY, 82001-1606, US
Phone (307) 632-8911
Fax (307) 433-0487
Business Location
3719 DOVER RD
CHEYENNE WY, 82001-1606, US
Phone (307) 632-8911
Fax (307) 433-0487
Toxanomy
Taxonomy Code 171M00000X
License State
License Number
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According to our database, Mr. Tiernan Mcilwaine NPI is 1265701759, taxonomy code is 171M00000X Tiernan Mcilwaine physically located at 3719 Dover Rd, Cheyenne WY, 82001-1606. NPI Number Tiernan Mcilwaine has the Individual type.

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1265701759 NPI number is provided on an as is basis without warranty of any kind. 1265701759 is maintained by the National Plan & Provider Enumeration System. The contents of Tiernan Mcilwaine are for informational purposes only.