person
Michael Dean Tanis, FNP
Family Nurse Practitioner in Newaygo, Michigan
NPI 1427155308

Michael Dean Tanis is a Family Nurse Practitioner based in Grand Rapids, MI and is specialized in Family. Michael Dean Tanis practices in Newaygo, MI and has the professional credentials of FNP. The NPI Number for Michael Dean Tanis is 1427155308 and holds a License No. 4704123034 (Michigan).

The current practice location address for Michael Dean Tanis is 211 W Pine Lake Dr, Newaygo, MI and can be reached out via phone at 231-652-1631 and via fax at 616-267-9047.

Location: 211 W Pine Lake Dr, Newaygo, MI, 49503-2560
person
Provider Profile Details
NPI Number
1427155308
Provider Name
Michael Dean Tanis
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
211 W Pine Lake Dr, Newaygo, MI, 49503-2560
Phone Number
231-652-1631
Fax Number
616-267-9047
Provider Enumeration Date
09/20/2006
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
211 W Pine Lake Dr
City
State
Zip
49337-8029
Phone Number
231-652-1631
Fax Number
616-267-9047
person
Provider Business Mailing Address Details
Address
211 W Pine Lake Dr
City
State
Zip
49337-8029
Phone Number
231-652-1631
Fax Number
616-267-9047
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
4704123034 (Michigan)
Definition
Definition to come...
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