Individual
TANNER C PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 ARCADE AVE STE 230, ELKHART, IN 46514-2485
(574) 522-6565
(574) 522-5572
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-1840
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/12/2022
Last updated
12/04/2023
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