Individual
DR. JOSEPH NEAL TESSENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1401 BIZTOWN LOOP, HAYDEN, ID 83835
(715) 965-2138
Mailing address
8359 N. AUDUBON DR., HAYDEN, ID 83835
(715) 965-2138
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1527
ID
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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