Individual
MR. CRAIG JJ TIERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1890 JOHN F KENNEDY RD, DUBUQUE, IA 52002-3800
(563) 556-8332
(563) 556-8334
Mailing address
1890 JOHN F KENNEDY RD, DUBUQUE, IA 52002-3800
(563) 556-8332
(563) 556-8334
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
D-075790
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0077974
—
IA
05
—
43291100
—
WI
Enumeration date
03/01/2006
Last updated
07/29/2008
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