NPI

John Paul Tennis

NPI 1376667063

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
PA-C
Type
Individual
Enumeration date
2007-03-19
Last updated
2025-01-07

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Specialties

Licenses

License CA
1117331
License WI
7809
License MN
14525

Location

Practice location
400 E 3rd St
City
Duluth MN
Postal code
55805-1951
Phone
(218) 786-4000

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

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