NPI 1407716533

Daniel Tellijohn, CP

Practitioner Prosthetist Wausau, WI

Practice location

Address: 1700 Stewart Ave STE 300, Wausau, WI 54401-5345
Phone: (715) 679-3776
Fax: (715) 841-0087

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence CP003277 (WI)

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Registry record

NPI: 1407716533
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Nov 2025
Record last updated: 12 Nov 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.