Individual provider · Type 1 NPI
Michael Dean Tanis, FNP
Family Nurse Practitioner · Newaygo, MI
NPI number
1427155308
Active
Practice location
211 W Pine Lake Dr
Newaygo, MI 49337-8029
Fax (616) 267-9047
Mailing address
100 Michigan St NE # MC845
Grand Rapids, MI 49503-2560
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 4704123034 (MI) |
Family Nurse Practitioner: Definition to come...
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About NPI 1427155308
Michael Dean Tanis, FNP's National Provider Identifier is 1427155308, issued on Sep 20, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Newaygo, MI. The record was last updated on Mar 1, 2024.