SearchMichigan367500000X

Daniel Tanner

NPI 1902543416 · on the registry since 2022 · sole proprietor

Practice

Address
259 Mack Ave
Detroit, MI 48201
Phone
(248) 705-3365
Clinicians at this address
93

Registry record

Primary taxonomy
367500000X
367500000X
Also registered as
163W00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-09-08

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