Individual
JANE TENQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
43969
WI
208600000X
Surgery Physician
43969
WI
2086S0127X
Trauma Surgery Physician
Primary
109196
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208050013
—
MO
05
—
32100600
—
WI
Enumeration date
09/26/2006
Last updated
01/25/2021
Update your record
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