Individual
PHILIP EDWIN TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 W 22ND ST, SUITE 101, SIOUX FALLS, SD 57105-7702
(605) 328-8500
(605) 328-8501
Mailing address
1500 W 22ND ST, SUITE 101, SIOUX FALLS, SD 57105-7702
(605) 328-8500
(605) 328-8501
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
43803
MN
207R00000X
Internal Medicine Physician
5757
SD
207RG0100X
Gastroenterology Physician
43803
MN
207RG0100X
Gastroenterology Physician
Primary
5757
SD
Other
Enumeration date
05/20/2006
Last updated
05/08/2008
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