NPI 1649591843

Tiffany K Holloway, CCP

Practitioner Perfusionist Weston, WI

Practice location

Address: 7602 Callon Ave, Weston, WI 54476-3213
Phone: (715) 393-1252

Registered specialties

Perfusionist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 242T00000X Licence 99-018 (WI)

Other Perfusionist providers in Wisconsin →

Registry record

NPI: 1649591843
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jun 2010
Record last updated: 22 Jun 2010

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.