Individual
CHRISTOPHER TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
102 W PIERSON RD, FLINT, MI 48505-3348
(810) 222-3033
Mailing address
5800 DANA LYNN, GOODRICH, MI 48438-8905
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704301058
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704301058
STATE LICENSE
MI
Enumeration date
03/11/2019
Last updated
05/14/2025
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