Individual
DR. TARYN KLINE FERNANDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
163 11TH AVE, UNION GROVE, WI 53182-1282
(530) 356-6739
Mailing address
163 11TH AVE, UNION GROVE, WI 53182-1282
(530) 356-6739
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.071000
IL
208D00000X
General Practice Physician
Primary
153791
FL
Other
Enumeration date
06/14/2017
Last updated
12/20/2021
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