Individual
DR. WM. DAVID TENNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
8899 MENTOR AVE, MENTOR, OH 44060-6211
(440) 974-3338
Mailing address
8899 MENTOR AVE, MENTOR, OH 44060-6211
(440) 974-3338
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36001599
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000042987
ANTHEM BCBS
OH
01
—
00000042988
ANTHEM BCBS
OH
05
—
0232948
—
OH
01
—
34671135300
BUR WORK COMP
OH
01
—
34671135301
BUR WORK COMP
OH
01
—
480012319
RAILROAD MEDICARE
OH
01
—
480031264B
RAILROAD MEDICARE
OH
Enumeration date
07/17/2006
Last updated
01/13/2012
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