Individual
EVAN IVINS TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPT
Contact information
Practice address
2775 E LANSING DR, EAST LANSING, MI 48823-7755
(517) 332-1616
Mailing address
2775 E LANSING DR, EAST LANSING, MI 48823-7755
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
03/04/2019
Last updated
03/04/2019
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