Individual
MICHAEL PAUL TENNYSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
400 N MAIN ST, WARSAW, NY 14569-1025
(585) 786-2233
Mailing address
3711 TIMBERLINE DR, CANANDAIGUA, NY 14424-8385
(585) 905-4112
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
666795
NY
163W00000X
Registered Nurse
7178358-3102
UT
367500000X
Certified Registered Nurse Anesthetist
Primary
123550
NY
Other
Enumeration date
06/16/2018
Last updated
03/01/2024
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