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

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4704123034 (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.