Individual
DR. MYRIAH ZEIEN-TARANTELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD MPH
Contact information
Practice address
1910 SOUTH AVE, LA CROSSE, WI 54601-5467
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
62723
TN
2080P0206X
Pediatric Gastroenterology Physician
Primary
4003-320
WI
2080P0206X
Pediatric Gastroenterology Physician
62723
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2012
Last updated
04/03/2024
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