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Individual
JANET K TILLISCH
Active
Individual
JANET K TILLISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4237
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015795300
—
ND
05
—
10168
—
ND
01
—
1201177
MEDICA #
ND
01
—
1201797
MEDICA #
ND
01
—
1203181
MEDICA #
ND
01
—
142074
UCARE #
ND
01
—
1877
NDBS #
ND
01
—
28064TI
MNBS #
ND
01
—
6419
NDBS #
MN
01
—
765120
AMERICA'S PPO/ARAZ #
ND
01
—
8253
SIOUX VALLEY #
ND
01
—
91423TI
MNBS #
ND
01
—
DA9011015596
PREFERRED ONE #
ND
01
—
HP19569
HEALTHPARTNERS #
ND
01
—
ND100012
LHS #
ND
Enumeration date
07/05/2006
Last updated
11/03/2011
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