Doctor Name: | MS. MARIE ELIZABETH TESCHLER |
NPI Number: | 1699136218 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 4704217146 |
Business Practice Address: | 2700 Pointe Tremble Rd Algonac, MI - 480011836 |
Business Phone Number: | 5862019716 |
Business Fax Number: | |
Mailing Address: | 2700 Pointe Tremble Rd, ALGONAC |
State: | MI |
Postal Code: | 480011836 |
Phone Number: | 5862019716 |
Fax Number: | |
NPI Enumeration Date: | 03/09/2016 |
NPI Last Update Date: | 04/19/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 4704217146 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |