Individual
MR. WILLIAM CHARLES TESSENDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, ATC
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
A0000067
MD
246Z00000X
Other Specialist/Technologist
AT000164
OH
Other
Enumeration date
09/20/2006
Last updated
06/10/2012
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