Individual
BRIAN MICHAEL TANKSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
747 BROADWAY, SEATTLE, WA 98122-4379
(206) 386-2573
Mailing address
16410 84TH ST NE STE D-605, LAKE STEVENS, WA 98258-9060
(360) 658-2488
(877) 501-9769
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD61501970
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2021
Last updated
06/11/2024
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