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1881645513
TINA LOUISE TANNER
MUSKEGON, MI
NPI
1881645513
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 4301070365)
Enumeration Date
2006-05-15
Last Update Date
2019-02-05
Business Address
TINA LOUISE TANNER MD
2006 HOLTON RD
MUSKEGON, MI 49445-1505
Phone number: 231-672-3333
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Mailing Address
TINA LOUISE TANNER MD
PO BOX 1848
MUSKEGON, MI 49443-1848
Phone number: 231-672-3333
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