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Individual
MR. WILLIAM CHARLES TESSENDORF
Active
Individual
MR. WILLIAM CHARLES TESSENDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, ATC
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
A0000067
MD
246Z00000X
Other Specialist/Technologist
AT000164
OH
Other
Enumeration date
09/20/2006
Last updated
06/10/2012
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