# TIMOTHY H TANNER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1144284498
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 0420008723 | VT | Yes |
| 208000000X | Pediatrics Physician | 0420008723 | VT | — |

## Other

- **Enumeration date:** 04/13/2006
- **Last updated:** 07/16/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0VN0612 | — | VT |