Individual
DR. ROBERT RUSSELL TINNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1234 WILLIAMSON ST, MADISON, WI 53703-3755
(608) 441-1181
Mailing address
1234 WILLIAMSON ST, MADISON, WI 53703-3755
(608) 441-1181
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4517-012
WI
Other
Enumeration date
08/08/2009
Last updated
08/08/2009
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