Individual provider · Type 1 NPI
Taryn Kline Fernandes, MD
General Practice Physician · Union Grove, WI
NPI number
1508396292
Active
Practice location
163 11th Ave
Union Grove, WI 53182-1282
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 153791 (FL) |
| Internal Medicine Physician | 207R00000X | 125.071000 (IL) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1508396292
Taryn Kline Fernandes, MD's National Provider Identifier is 1508396292, issued on Jun 14, 2017. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Union Grove, WI. The record was last updated on Dec 20, 2021.