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Search › Wisconsin › 225200000X

Tanielle Summerill, PTA

NPI 1447351564 · on the registry since 2006

Practice

Address
2626 N Wauwatosa Ave
Wauwatosa, WI 53213
Phone
(414) 774-7794
Organisation at this address
J.L. Mackman Dds
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
225200000X
225200000X
Also registered as
225200000X
Licence states on file
WI, ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin