Individual provider · Type 1 NPI

Tanner Michael Fullmer

Otolaryngology Physician · Milwaukee, WI

NPI number 1285028753 Active

Practice location

2311 N Prospect Ave
Milwaukee, WI 53211-4445

Call (414) 319-3000 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Otolaryngology Physician Primary 207Y00000X74914 (WI)

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

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About NPI 1285028753

Tanner Michael Fullmer's National Provider Identifier is 1285028753, issued on Mar 23, 2015. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Milwaukee, WI. The record was last updated on Jun 18, 2021.