Healthcare Provider Details

I. General information

NPI: 1356920953
Provider Name (Legal Business Name): TANYA JOY TEMPLER STARR DO, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2021
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2251 N SHORE DR
RHINELANDER WI
54501-6713
US

IV. Provider business mailing address

2251 N SHORE DR
RHINELANDER WI
54501-6713
US

V. Phone/Fax

Practice location:
  • Phone: 715-361-4700
  • Fax:
Mailing address:
  • Phone: 715-361-4700
  • Fax: 913-498-6708

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number82345-21
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: