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JENNIFER L. TOMICH M.D.

Diagnostic Radiology >> Radiology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1194043901

Individual Registrant:
 JENNIFER L. TOMICH M.D.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
581 W MARINE CORPS DR #201 HAGATNA, GU 96910 US
Tel: 952-595-1100  Fax: 612-294-4903

Contact information for business:
11995 SINGLETREE LN STE 500 EDEN PRAIRIE, MN 55344-5347 US
Tel: 952-595-1301  Fax: 612-294-4903

Registration Information:
NPI: 1194043901
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N2085R0202XAllopathic & Osteopathic Physicians
Radiology
Diagnostic Radiology
VA0101258129
Y2085R0202XAllopathic & Osteopathic Physicians
Radiology
GUM-1950

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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