Individual
DANIEL MICHAEL TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
259 MACK AVE, DETROIT, MI 48201-2427
(248) 705-3365
Mailing address
1201 E 11 MILE RD APT 302, ROYAL OAK, MI 48067-2091
(248) 705-3365
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704326221
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704326221NSA220NA
MI
Other
Enumeration date
05/16/2022
Last updated
09/08/2022
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