| NPI | 1578776118 |
|---|---|
| Other Name | DEEANN ALTHOUSE TILLEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MT 49457) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MT 49457) |
| 208D00000X General Practice (Licence: MT 49457) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2023-09-18 |