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Individual

EMANUEL TANNE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6517 BUENA VISTA DRIVE, VANCOUVER, WA 98661
(360) 694-4777
(360) 694-7062
Mailing address
6517 BUENA VISTA DRIVE, VANCOUVER, WA 98661
(360) 694-4777
(360) 694-7062

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
13092
WA
207W00000X
Ophthalmology Physician
25MA02104100
NJ
207W00000X
Ophthalmology Physician
7514
AZ
207W00000X
Ophthalmology Physician
G8840
CA
207W00000X
Ophthalmology Physician
MD08581
OR
207W00000X
Ophthalmology Physician
R4176
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1861509
WA
Enumeration date
06/12/2006
Last updated
07/08/2007
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