Individual
DR. TENNER JOHAN GUILLAUME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 UNIVERSITY AVE E, GILLETTE CHILDREN'S SPECIALTY HEALTHCARE, SAINT PAUL, MN 55101-2507
(651) 578-5197
(651) 312-3188
Mailing address
200 UNIVERSITY AVE E, GILLETTE CHILDREN'S SPECIALTY HEALTHCARE, SAINT PAUL, MN 55101-2507
(651) 578-5197
(651) 312-3188
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
A99345
CA
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
53014
MN
Other
Enumeration date
06/26/2007
Last updated
12/01/2011
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