Individual
MICHAEL C. TANNER
Active
Individual
MICHAEL C. TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
2008-01173
NC
207W00000X
Ophthalmology Physician
Primary
200801173
NC
Other
Enumeration date
05/07/2007
Last updated
04/11/2013
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