A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external...
TX license #J7860taxonomy 208200000X
Identifiers
Type
Value
Notes
05 (TX)
169603101
01 (TX)
8AQ830
BCBS INDIVIDUAL NUMBER
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Kelly E. Tjelmeland M. D.
Type code 3recorded 2007-04-04
Practice context
Multi-provider organization.
4 individual providers on file at this primary address.
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