Individual
LARRY B TANKANOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
27472 SCHOENHERR RD STE 100, WARREN, MI 48088-6675
(586) 751-8844
(586) 751-8596
Mailing address
27472 SCHOENHERR RD STE 100, WARREN, MI 48088-6675
(586) 751-8844
(586) 751-8596
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
4301045330
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4559970
—
MI
Enumeration date
12/14/2005
Last updated
05/16/2022
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