JORDAN TICHENOR
Individual Provider (NPI-1)
Active
Internal Medicine, Infectious Disease
Provider Information
- NPI Number
1003299827- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 400 E 3RD ST, DULUTH, MN, 558051951
- Phone
- (218) 786-3737
- Fax
- (187) 278-3282
Specialties & Taxonomies
Pharmacist, Infectious Diseases
License: WI #77711
Internal Medicine, Infectious Disease
Primary License: MN #71017