Michael Dean Tanis in Grand Rapids - Family
Michael Dean Tanis - NPI 1427155308
Michael Dean Tanis is a Family in Grand Rapids, Michigan. Michael Dean Tanis practices all healthcare services and medical treatments related to Family. The NPI Number for Michael Dean Tanis is 1427155308. The last update date is 2021-03-03.
Michael Dean Tanis's current location address is 100 Michigan St Ne # Mc845, Grand Rapids, Michigan. You can contact this provider via phone number 6164866790 and fax number 6164866702. The mailing address for Michael Dean Tanis is 100 Michigan St Ne # Mc845, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Dean Tanis |
|---|---|
| Address | 100 Michigan St Ne # Mc845, Grand Rapids, Michigan |
| Phone Number | 6164866790 |
| Fax Number | 6164866702 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1427155308 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2021-03-03 |
Provider Mailing Address Detail
| Address | 100 Michigan St Ne # Mc845 |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495032560 |
| Phone Number | 6164866790 |
| Fax Number | 6164866702 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 4704123034 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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What is the unique provider identifier assigned to Michael Dean Tanis?
The Michael Dean Tanis has been issued the NPI (National Provider Identifier) 1427155308 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Michael Dean Tanis located?
The Michael Dean Tanis is located at 100 Michigan St Ne # Mc845, Grand Rapids, MI 495032560.
What is the Michael Dean Tanis's area of specialization and corresponding taxonomy classification?
The Michael Dean Tanis's specialty field is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1427155308 to Michael Dean Tanis?
The Centers for Medicare & Medicaid Services assigned the 1427155308 to Michael Dean Tanis on 2006-09-20.
When was the Michael Dean Tanis's information last updated?
The Michael Dean Tanis's information was last updated on 2021-03-03.