NPI 1902258007

Mark Tesanovich

Practitioner Registered Respiratory Therapist Evansville, IN

Practice location

Address: 8601 N Kentucky Ave STE a, Evansville, IN 47725-6371
Phone: (812) 469-6877
Mailing address: 6673 Massachusetts St, Merrillville, IN 46410-3518

Registered specialties (2)

Registered Respiratory Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 227900000X Licence RT13364 (FL)

Other Respiratory Therapist, Registered providers in Indiana →

Registered Respiratory Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 227900000X Licence 30003311A (IN)

Registry record

NPI: 1902258007
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Jul 2016
Record last updated: 13 Jul 2016

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.