| NPI | 1679577480 | 
|---|---|
| Professional Name | SUZANNE M TANNER | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MN 45141) | 
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MN 45141) | 
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: WI 44355) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: MN 45141) | |
| Enumeration Date | 2005-06-09 | 
| Last Update Date | 2023-11-16 |