Individual
TANNER C FLATLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
3365 S 103RD ST STE 250, MILWAUKEE, WI 53227-4161
(414) 604-7501
Mailing address
2950 CLEARWATER LN APT 202, WAUKESHA, WI 53189-6895
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1891
WI
Other
Enumeration date
07/06/2017
Last updated
07/06/2017
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