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Dominick Tedeschi, DO
Student in an Organized Health Care Education/Training Program in Jasper, Indiana
NPI 1720778558

Dominick Tedeschi is a Student in an Organized Health Care Education/Training Program based in Jasper, IN. Dominick Tedeschi practices in Jasper, IN and has the professional credentials of DO. The NPI Number for Dominick Tedeschi is 1720778558 and holds a License No. (Indiana).

The current practice location address for Dominick Tedeschi is 966 Bartley St, Jasper, IN and can be reached out via phone at 812-996-7810.

Location: 966 Bartley St, Jasper, IN, 47546-2641
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720778558
Provider Name
Dominick Tedeschi
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
966 Bartley St, Jasper, IN, 47546-2641
Phone Number
812-996-7810
Fax Number
Provider Enumeration Date
05/15/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
966 Bartley St
City
Jasper
State
Indiana
Zip
47546-2641
Phone Number
812-996-7810
Fax Number
person
Provider Business Mailing Address Details
Address
966 Bartley St
City
Jasper
State
Indiana
Zip
47546-2641
Phone Number
812-996-7810
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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