Individual
DEWAYNE M TENTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 7TH ST STE 207, ROCKFORD, IL 61104-1224
(815) 516-7396
Mailing address
115 7TH ST STE 207, ROCKFORD, IL 61104-1224
(815) 516-7396
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/08/2013
Last updated
02/08/2013
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