Tanner Michael Fullmer

NPI 1285028753 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1285028753
Gender Male
Enumeration Date 03/23/2015
Last Updated 03/23/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
6501 FANNIN ST STE NA102
HOUSTON TX, 77030-2703, US
Phone (713) 798-3913
Fax
Business Location
7120 W CHAMBERS CT APT 1
MILWAUKEE WI, 53210-1177, US
Phone (414) 587-3068
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Mr. Tanner Michael Fullmer NPI is 1285028753, taxonomy code is 390200000X Tanner Michael Fullmer physically located at 6501 Fannin St Ste Na102, Houston TX, 77030-2703. NPI Number Tanner Michael Fullmer has the Individual type.

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1285028753 NPI number is provided on an as is basis without warranty of any kind. 1285028753 is maintained by the National Plan & Provider Enumeration System. The contents of Tanner Michael Fullmer are for informational purposes only.