Individual
DR. TY ALEXANDER TANKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AU.D.
Contact information
Practice address
1253 N ALPINE RD, ROCKFORD, IL 61107-2201
(779) 696-9201
Mailing address
2328 ROCKLYN DR, URBANDALE, IA 50322-4935
(515) 868-1773
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
114765
IA
231H00000X
Audiologist
147001938
IL
Other
Enumeration date
05/31/2022
Last updated
02/06/2024
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