Organization · Type 2 NPI

Tina R. Entwistle, D.p.m., P.c.

Foot & Ankle Surgery Podiatrist · Rockford, IL

NPI number 1740463678 Active

About NPI 1740463678

Tina R. Entwistle, D.p.m., P.c.'s National Provider Identifier is 1740463678, issued on Dec 13, 2007. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Rockford, IL. The record was last updated on Jan 11, 2011.