Organization
FRED L TANZER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED L TANZER MD (PHYSICIAN)
(513) 543-3746
Entity
Organization
Contact information
Practice address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(513) 543-3746
(513) 557-3347
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(513) 543-3746
(513) 557-3347
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35058692
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0904721
—
OH
01
—
110066520
RAILROAD MEDICARE
OH
Enumeration date
05/29/2008
Last updated
05/08/2009
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