MICHAEL TANNENBAUM

MODESTO, CA
NPI1457553885
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OR  PA01230)
Enumeration Date2007-06-05
Last Update Date2009-06-12
Business Address
-- MICHAEL TANNENBAUM PA
1808 SCENIC DR APT 107
MODESTO, CA 95355
Phone number: 510-409-8966
Mailing Address
-- MICHAEL TANNENBAUM PA
1808 SCENIC DR APT 107
MODESTO, CA 95355-4947
Phone number: 510-409-8966
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