Individual provider · Type 1 NPI
Tathyana Marques Fernandes Fensterer, MD
Plastic and Reconstructive Surgery Physician · Bloomington, IN
NPI number
1225337934
Active
Practice location
2605 E Creeks Edge Dr
Bloomington, IN 47401-8368
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | 01101069A (IN) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
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About NPI 1225337934
Tathyana Marques Fernandes Fensterer, MD's National Provider Identifier is 1225337934, issued on Mar 21, 2011. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Bloomington, IN. The record was last updated on Nov 2, 2026.