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Individual

MR. STEVEN J TANNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
11123 PARKVIEW PLAZA DR STE 101, FORT WAYNE, IN 46845-1707
(260) 422-7455
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
02004475A
IN
207V00000X
Obstetrics & Gynecology Physician
PERMIT
CT

Other

Enumeration date
08/31/2010
Last updated
10/03/2022
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