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Individual
AMY TESAR
Active
Individual
AMY TESAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
03524
IA
207R00000X
Internal Medicine Physician
Primary
DO-03524
IA
208M00000X
Hospitalist Physician
3524
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04350
WELLMARK
IA
05
—
0480475
—
IA
Enumeration date
08/23/2006
Last updated
07/14/2025
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