Individual
BRADLEY PHILLIP TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
300 E F ST, IRON MOUNTAIN, MI 49801-3442
(906) 774-0563
Mailing address
300 E F ST, IRON MOUNTAIN, MI 49801-3442
(906) 774-0563
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302417513
MI
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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