Tanner Menard

NPI #1568108439 in Eagle River, Alaska

Provider Information

NPI Number: 1568108439
Entity Type: Individual
Name: Tanner Menard
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: May 12, 2022
Last Updated: May 12, 2022

Practice Location

Address: 17101 SNOWMOBILE LN STE 107
City: Eagle River
State: Alaska
ZIP Code: 99577-7043
Phone: (907) 622-6233

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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