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Mr. Tanner Michael Fullmer
Otolaryngology Physician in Milwaukee, Wisconsin
NPI 1285028753

Tanner Michael Fullmer is a Otolaryngology Physician based in Milwaukee, WI. Tanner Michael Fullmer practices in Milwaukee, WI. The NPI Number for Tanner Michael Fullmer is 1285028753 and holds a License No. (Wisconsin).

The current practice location address for Tanner Michael Fullmer is 2311 N Prospect Ave, Milwaukee, WI and can be reached out via phone at 414-319-3000.

Location: 2311 N Prospect Ave, Milwaukee, WI, 53211-4445
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285028753
Provider Name
Tanner Michael Fullmer
Credential
Provider Entity Type
Individual
Gender
Male
Address
2311 N Prospect Ave, Milwaukee, WI, 53211-4445
Phone Number
414-319-3000
Fax Number
Provider Enumeration Date
03/23/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2311 N Prospect Ave
City
Milwaukee
State
Wisconsin
Zip
53211-4445
Phone Number
414-319-3000
Fax Number
person
Provider Business Mailing Address Details
Address
2311 N Prospect Ave
City
Milwaukee
State
Wisconsin
Zip
53211-4445
Phone Number
414-319-3000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
-
Taxonomy
207Y00000X
License No.
74914 (Wisconsin)
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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