DIRK TANIS

INDIANAPOLIS, IN
NPI1306587266
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: IN  11022758A)
Additional Taxonomies207L00000X Anesthesiology
(Licence: MI  5151015444)
Enumeration Date2022-04-05
Last Update Date2023-06-26
Business Address
DIRK TANIS DO
1130 W MICHIGAN ST
INDIANAPOLIS, IN 46202-5149
Phone number: 317-944-5000
Mailing Address
DIRK TANIS DO
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503-4502
Phone number: 616-685-6867