KATIE TANNER, PA

Physician Assistant

Active Individual
NPI: 1225013634

Practice Address

819 MAIN ST
Lisbon, ND 58054

Phone: (701) 683-4134

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes PAC0102 (ND)

Frequently Asked Questions

NPI 1225013634 is the National Provider Identifier for KATIE TANNER, PA, a Physician Assistant provider located in Lisbon, ND. This NPI was enumerated on December 8, 2005.
KATIE TANNER, PA practices at 819 MAIN ST, Lisbon, ND 58054.

Quick Facts

NPI
1225013634
Type
Individual
Enumerated
Dec 8, 2005
Last Updated
Sep 12, 2019

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