Individual
JORDAN TICHENOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-3737
(187) 278-3282
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8895
(218) 727-8328
Taxonomy
Speciality
Code
Description
License number
State
1835I0206X
Infectious Diseases Pharmacist
77711
WI
207RI0200X
Infectious Disease Physician
Primary
71017
MN
Other
Enumeration date
06/30/2015
Last updated
05/07/2024
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