Provider Demographics
NPI:1811483571
Name:FAULKNOR, TIFFANY MARIE (AAS)
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:MARIE
Last Name:FAULKNOR
Suffix:
Gender:F
Credentials:AAS
Other - Prefix:
Other - First Name:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:120 WATER ST
Mailing Address - Street 2:
Mailing Address - City:BOYNE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49712-1696
Mailing Address - Country:US
Mailing Address - Phone:231-303-3950
Mailing Address - Fax:231-344-5953
Practice Address - Street 1:120 WATER ST
Practice Address - Street 2:
Practice Address - City:BOYNE CITY
Practice Address - State:MI
Practice Address - Zip Code:49712
Practice Address - Country:US
Practice Address - Phone:231-303-3950
Practice Address - Fax:231-344-5953
Is Sole Proprietor?:No
Enumeration Date:2018-07-05
Last Update Date:2018-08-09
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonography