Individual
MS. KIRA TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2142 N COVE BLVD, TOLEDO, OH 43606-3895
(419) 291-2062
Mailing address
15923 COUNTY ROAD C, WAUSEON, OH 43567-9432
Taxonomy
Speciality
Code
Description
License number
State
207RM1200X
Magnetic Resonance Imaging (MRI) Internal Medicine Physician
Primary
585655
OH
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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