SODIENYE TETENTA

KOKOMO, IN
NPI1447459763
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RC0200X Internal Medicine, Critical Care Medicine
(Licence: WI  22217-875)
Additional Taxonomies207RC0200X Internal Medicine, Critical Care Medicine
(Licence: WY  8081A)
207RP1001X Internal Medicine, Pulmonary Disease
(Licence: WY  8081A)
207RP1001X Internal Medicine, Pulmonary Disease
(Licence: WI  22217-875)
207RP1001X Internal Medicine, Pulmonary Disease
(Licence: IN  01088385A)
207RS0012X Internal Medicine, Sleep Medicine
(Licence: WY  8081A)
Enumeration Date2007-07-16
Last Update Date2022-09-06
Business Address
SODIENYE TETENTA MB.BS
1907 W SYCAMORE ST
KOKOMO, IN 46901-5148
Phone number: 765-236-8363
Mailing Address
SODIENYE TETENTA MB.BS
7974 UW HEALTH CT
MIDDLETON, WI 53562-5531
Phone number: