institution
Tina R. Entwistle, D.p.m., P.c.
Foot & Ankle Surgery Podiatrist in Rockford, Illinois
NPI 1740463678

Tina R. Entwistle, D.p.m., P.c. is a Foot & Ankle Surgery Podiatrist based in Rockford, IL and is specialized in Foot & Ankle Surgery. Tina R. Entwistle, D.p.m., P.c. practices in Rockford, IL. The NPI Number for Tina R. Entwistle, D.p.m., P.c. is 1740463678 and holds a License No. 016-005194 (Illinois).

The current practice location address for Tina R. Entwistle, D.p.m., P.c. is 6778 Mill Rd, Rockford, IL and can be reached out via phone at 815-227-0041. You can also correspond with Tina R. Entwistle, D.p.m., P.c. through the mailing address at 6778 MILL RD, ROCKFORD, IL - 61108-2502 (mailing address contact number: ).

Location: 6778 Mill Rd, Rockford, IL, 61108-2502
institution
Provider Profile Details
NPI Number
1740463678
Provider Name
Tina R. Entwistle, D.p.m., P.c.
Credential
Provider Entity Type
Organization
Address
6778 Mill Rd, Rockford, IL, 61108-2502
Phone Number
815-227-0041
Fax Number
Provider Enumeration Date
12/13/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6778 Mill Rd
City
State
Zip
61108-2502
Phone Number
815-227-0041
Fax Number
person
Provider Business Mailing Address Details
Address
6778 Mill Rd
City
State
Zip
61108-2502
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
016-005194 (Illinois)
Definition
Definition to come...
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