Search › Minnesota › 207Q00000X
Tanner Nissly, DO
NPI 1518131093 · on the registry since 2008
Practice
- Address
- 1020 W Broadway Ave
Broadway Family Medicine
Minneapolis, MN 55411 - Phone
- (612) 302-8209
- Clinicians at this address
- 44
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 390200000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-02-15
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 Minnesota