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Individual

TANNER MARK BZDEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
759 CHESTNUT ST STE C3350, SPRINGFIELD, MA 01107-1619
(413) 794-6297
(413) 794-1767
Mailing address
280 CHESTNUT ST FL 2, SPRINGFIELD, MA 01199-1001
(413) 794-5700

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA8025
MA

Other

Enumeration date
12/03/2019
Last updated
10/27/2022
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