Individual
MARK CHRISTOPER TANARIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1221 E GRAND BLVD, DETROIT, MI 48211-3428
(734) 458-4601
Mailing address
37450 SCHOOLCRAFT RD, LIVONIA, MI 48150-1082
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
4704169713
MI
Other
Enumeration date
12/05/2017
Last updated
12/05/2017
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