Individual
TANNER PAUL HEISEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
515 WALNUT ST, EVANSVILLE, IN 47708-1621
(361) 726-5176
Mailing address
2756 SUGAR CANE LN, EVANSVILLE, IN 47715-7726
(361) 726-5176
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/25/2025
Last updated
07/25/2025
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