Individual
DR. LINDSEY E TUNTLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
525 KENOSHA ST, WALWORTH, WI 53184-9512
(262) 275-2101
(262) 275-0752
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(262) 275-2101
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
76190
WI
208D00000X
General Practice Physician
76190-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100182847
—
WI
Enumeration date
03/28/2020
Last updated
10/23/2023
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