Individual
DR. MICHAEL D TENNANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
853 MAIN ST, NUCLA, CO 81424-0454
(970) 864-7480
(541) 808-2016
Mailing address
853 MAIN ST, NUCLA, CO 81424-0454
(970) 864-7480
(541) 808-2016
Taxonomy
Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
Primary
3090
CO
Other
Enumeration date
05/21/2012
Last updated
09/07/2012
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