Individual
GEORGE R TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3200 WESTHILL DR, SUITE 201, WAUSAU, WI 54401-4705
(715) 847-2382
(715) 847-2381
Mailing address
3200 WESTHILL DR, SUITE 201, WAUSAU, WI 54401-4705
(715) 847-2382
(715) 847-2381
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
23270
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30314000
—
WI
Enumeration date
10/13/2005
Last updated
08/24/2007
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