Individual
MR. TANNER DAY MCCLINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
2625 N WEIL ST, MILWAUKEE, WI 53212-3060
(414) 962-1200
Mailing address
2625 N WEIL ST, MILWAUKEE, WI 53212-3060
(414) 962-1200
(414) 977-5852
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
MO
Other
Enumeration date
01/12/2021
Last updated
09/07/2023
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