Fullmer, Tanner Michael

Fullmer, Tanner Michael is an sole proprietor health care provider with primary practice located at 2311 N Prospect Ave , Milwaukee WI 53211-4445. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Fullmer, Tanner Michael can be contacted via phone (414) 319-3000.

Contact Information

Primary practice address
2311 N Prospect Ave Milwaukee WI 53211-4445
Phone: (414) 319-3000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 74914 Wisconsin

Profile Details

NPI number 1285028753
LBN Legal business name Fullmer, Tanner Michael
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2015
Last updated Jun 18th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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