BRIANA NICOLE TANNER

GRANDVILLE, MI
NPI1669004404
Former NameBRIANA NICOLE OETMAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601010171)
Enumeration Date2020-02-10
Last Update Date2022-04-06
Business Address
BRIANA NICOLE TANNER PA-C
3185 MACATAWA DR SW STE A
GRANDVILLE, MI 49418-3184
Phone number: 616-391-4500
Mailing Address
BRIANA NICOLE TANNER PA-C
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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