Katie L Tanner, PA

NPI #1225013634 in Lisbon, North Dakota

Provider Information

NPI Number
1225013634
Entity Type
Individual
Name
Katie L Tanner, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Dec 8, 2005
Last Updated
Sep 12, 2019

Practice Location

Address
819 MAIN ST
City
Lisbon
ZIP Code
58054-4244
Phone
(701) 683-4134

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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