Individual
MICHAEL ABRAM TENOFSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
625 E BROADWAY AVE, JACKSON, WY 83001
(307) 733-3636
(888) 329-5701
Mailing address
PO BOX 428, JACKSON, WY 83001-0428
(307) 733-3636
(888) 329-5701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12118A
WY
207R00000X
Internal Medicine Physician
TL5680
WY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
12118A
WY
207RP1001X
Pulmonary Disease Physician
12118A
WY
207RP1001X
Pulmonary Disease Physician
TL5680
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152333300
—
WY
Enumeration date
02/23/2009
Last updated
02/18/2021
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