STEVEN J TANNER

FORT WAYNE, IN
NPI1114233996
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: IN  02004475A)
Additional Taxonomies207V00000X Obstetrics & Gynecology
(Licence: CT  permit)
Enumeration Date2010-08-31
Last Update Date2022-10-03
Business Address
Mr. STEVEN J TANNER D.O.
11123 PARKVIEW PLAZA DR STE 101
FORT WAYNE, IN 46845-1707
Phone number: 260-422-7455
Mailing Address
Mr. STEVEN J TANNER D.O.
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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