Individual
TESS CONKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
2851 UNIVERSITY AVE, GREEN BAY, WI 54311-5855
(920) 431-2500
Mailing address
2851 UNIVERSITY AVE, GREEN BAY, WI 54311-5855
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147.001574
IL
Other
Enumeration date
11/13/2015
Last updated
11/13/2015
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