Individual
CLIFFORD C TENNER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
551 HOSPITAL RD, NEW RICHMOND, WI 54017-1449
(715) 246-6911
(715) 246-7287
Mailing address
551 HOSPITAL RD, NEW RICHMOND, WI 54017-1449
(715) 246-6911
(715) 246-7287
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33582
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31847100
—
WI
Enumeration date
11/15/2005
Last updated
07/08/2007
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