Individual
DR. DWAINE ANTHONY TESNOHLIDEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
351 SW 9TH ST, ONTARIO, OR 97914-2639
(541) 881-7184
(541) 881-7016
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
M6508
ID
208600000X
Surgery Physician
Primary
MD18758
OR
Other
Enumeration date
09/27/2006
Last updated
04/18/2025
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