Individual
DANIEL D. TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
105 WATER ST, PLYMOUTH, IN 46563-2148
(574) 237-9331
(574) 237-9252
Mailing address
105 WATER ST, PLYMOUTH, IN 46563-2148
(574) 237-9331
(574) 237-9252
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71004120A
IN
Other
Enumeration date
09/06/2012
Last updated
07/26/2017
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