SHIRA TANNENBAUM
Individual Provider (NPI-1)
Active
Anesthesiology
Provider Information
- NPI Number
1336467489- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1227 E RUSHOLME ST, DAVENPORT, IA, 528032459
- Phone
- (563) 324-8160
- Fax
- (563) 324-8486
Specialties & Taxonomies
Anesthesiology, Critical Care Medicine
License: IA #DO-04709
Anesthesiology
Primary License: IA #DO-04709