Individual
ANTHONY M TELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 N 7TH ST, BISMARCK, ND 58501-4436
(701) 323-6000
(701) 323-5308
Mailing address
PO BOX 5501, BISMARCK, ND 58506-5501
(701) 323-6000
(701) 323-5709
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5681
ND
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
5681
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12726
SPECIALTY
ND
05
—
15895
—
ND
Enumeration date
09/20/2006
Last updated
03/15/2023
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