Larry B Tankanow MD

NPI 1073598827 - Internal Medicine - 207RP1001X

NPI Details
NPI 1073598827
Gender Male
Enumeration Date 12/14/2005
Last Updated 04/15/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
30117 SCHOENHERR RD
SUITE 100
WARREN MI, 48088-6851, US
Phone (586) 751-8844
Fax (586) 751-8596
Business Location
30117 SCHOENHERR RD
SUITE 100
WARREN MI, 48088-6851, US
Phone (586) 751-8844
Fax (586) 751-8596
Toxanomy
Taxonomy Code 207RP1001X
License State Michigan
License Number 4301045330
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According to our database, Larry B Tankanow MD NPI is 1073598827, taxonomy code is 207RP1001X and license number is 4301045330, license state is located at Michigan. Larry B Tankanow MD physically located at 30117 Schoenherr Rd, Warren MI, 48088-6851. NPI Number Larry B Tankanow MD has the Individual type.

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1073598827 NPI number is provided on an as is basis without warranty of any kind. 1073598827 is maintained by the National Plan & Provider Enumeration System. The contents of Larry B Tankanow MD are for informational purposes only.