Search › Michigan › 171100000X
Theresa Tavenner, A.D.S
NPI 1376044818 · on the registry since 2018
Practice
- Address
- 2655 Ashmun St
Sault Sainte Marie, MI 49783 - Phone
- (906) 632-9809
- Fax
- (888) 977-2109
- Organisation at this address
- Great Lakes Recovery Centers
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 53
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Sex
- Female
- Record last updated
- 2018-04-24
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