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Michael Tannenbaum, PA
NPI 1457553885 · on the registry since 2007
Practice
- Address
- 1808 Scenic Dr
Apt 107
Modesto, CA 95355 - Phone
- (510) 409-8966
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-06-12
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 California