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1760232037
TANNER JAMES KIRCHBERG
SAINT JOSEPH, MI
NPI
1760232037
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: MI 5151016663)
Enumeration Date
2024-03-27
Last Update Date
2024-05-16
Business Address
TANNER JAMES KIRCHBERG DO
1234 NAPIER AVE
SAINT JOSEPH, MI 49085-2112
Phone number: 269-983-8300
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Mailing Address
TANNER JAMES KIRCHBERG DO
N55W17746 HIGH BLUFF DR UNIT E
MENOMONEE FALLS, WI 53051-1282
Phone number: 920-350-2501
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