Individual
TINA M JOANNIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
N84 W16889 MENOMONEE AVENUE, MENOMONEE FALLS, WI 53051
(262) 251-7500
(262) 251-7128
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
27678
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31406100
—
WI
Enumeration date
07/07/2006
Last updated
07/14/2025
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