# BARRY TANNE, M.D.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Granite Falls Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760804827
- **Authorized official:** DR. BARRY TANNE M.D. (OWNER)
- **Authorized official phone:** (360) 691-7711

## Contact information

- **Practice address:** 403 SOUTH GRANITE AVE, GRANITE FALLS, WA 98252
- **Practice address phone:** (360) 691-7711
- **Practice address fax:** (360) 691-7864
- **Mailing address:** P.O. BOX 1650, GRANITE FALLS, WA 98252
- **Mailing address phone:** (360) 691-7711
- **Mailing address fax:** (360) 691-7864

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD00017729 | WA | Yes |

## Other

- **Enumeration date:** 01/09/2014
- **Last updated:** 01/09/2014