Individual
TANEN TYRELL ST. CLAIR - BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1441 CONSTITUTION BLVD, SALINAS, CA 93906-3100
(831) 755-4111
(773) 537-0029
Mailing address
1441 CONSTITUTION BLVD, SALINAS, CA 93906-3100
(831) 755-4111
(773) 537-0029
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
20A17296
CA
208M00000X
Hospitalist Physician
80011-21
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487040739
—
WI
Enumeration date
04/14/2015
Last updated
07/25/2024
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