Individual
DR. JENNIFER TANGTIPHAIBOONTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
65408
MN
207X00000X
Orthopaedic Surgery Physician
72305
WI
207XX0801X
Orthopaedic Trauma Physician
MD60838780
WA
Other
Enumeration date
05/07/2013
Last updated
08/14/2023
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