Individual
DR. DAVID WILLIAM TESAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01064317A
IN
2084N0400X
Neurology Physician
35066615
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
090540871
MEDICARE PTAN
IN
Enumeration date
11/01/2006
Last updated
06/28/2023
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