Individual provider · Type 1 NPI
Cody William Teslow, PA
Medical Physician Assistant · La Crosse, WI
NPI number
1770870933
Active
Practice location
1836 South Ave
La Crosse, WI 54601-5429
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | 002224 (IA) |
| Medical Physician Assistant | 363AM0700X | 11917 (MN) |
| Medical Physician Assistant Primary | 363AM0700X | 3066 (WI) |
Medical Physician Assistant: Definition to come...
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About NPI 1770870933
Cody William Teslow, PA's National Provider Identifier is 1770870933, issued on Jul 7, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in La Crosse, WI. The record was last updated on Dec 13, 2017.