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Keith Tanner
NPI 1134858236 · on the registry since 2022 · sole proprietor
Practice
- Address
- 16656 Parkside St
Detroit, MI 48221 - Phone
- (313) 989-5536
Registry record
- Primary taxonomy
- Contractor
171W00000X
- Sex
- Male
- Record last updated
- 2022-06-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan