Individual
BRIAN J TIENOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
57335
MN
207W00000X
Ophthalmology Physician
61500-20
WI
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
57335
MN
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
61500-20
WI
Other
Enumeration date
07/01/2011
Last updated
02/02/2021
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