Individual
TERESA DEWALD I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2582 CHAMBERLIN DR, TAWAS CITY, MI 48763-9604
(989) 820-2221
Mailing address
2582 CHAMBERLIN DR, TAWAS CITY, MI 48763-9604
(989) 820-2221
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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