Individual
MANUEL ELLIS TANCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3901 CHRYSLER SERVICE DR., DETROIT, MI 48201-2167
(313) 993-3434
(313) 993-3421
Mailing address
1560 E MAPLE RD, SUITE 400-CREDENTIALING, TROY, MI 48083-1138
(313) 993-3434
(313) 993-3421
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301064220
MI
Other
Enumeration date
06/01/2006
Last updated
09/23/2016
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