DWAINE ANTHONY TESNOHLIDEK

FRUITLAND, ID
NPI1437240009
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: ID  M6508)
Additional Taxonomies208600000X Surgery
(Licence: OR  MD18758)
Enumeration Date2006-09-27
Last Update Date2012-09-18
Business Address
DR. DWAINE ANTHONY TESNOHLIDEK MD
1210 NW 16TH ST
FRUITLAND, ID 83619-2202
Phone number: 208-452-8600
Mailing Address
DR. DWAINE ANTHONY TESNOHLIDEK MD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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