MICHAEL DEAN TANIS

NEWAYGO, MI
NPI1427155308
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MI  4704123034)
Enumeration Date2006-09-20
Last Update Date2024-03-01
Business Address
MICHAEL DEAN TANIS FNP
211 W PINE LAKE DR
NEWAYGO, MI 49337-8029
Phone number: 231-652-1631
Mailing Address
MICHAEL DEAN TANIS FNP
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number: 616-486-6790
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