Michael Dean Tanis, FNP | |
211 W Pine Lake Dr, Newaygo, MI 49337-8029 | |
(231) 652-1631 | |
(616) 267-9047 |
Full Name | Michael Dean Tanis |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 211 W Pine Lake Dr, Newaygo, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427155308 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 4704123034 (Michigan) | Primary |
Entity Name | Spectrum Health Primary Care Partners |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235188673 PECOS PAC ID: 4587568647 Enrollment ID: O20031121000091 |
Entity Name | Newaygo County General Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750404927 PECOS PAC ID: 4880503051 Enrollment ID: O20040423001232 |
Entity Name | Pere Marquette Emergency Physicians Plc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447284112 PECOS PAC ID: 1052356094 Enrollment ID: O20050621000913 |
Mailing Address | Practice Location Address |
---|---|
Michael Dean Tanis, FNP 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 Ph: (616) 486-6790 | Michael Dean Tanis, FNP 211 W Pine Lake Dr, Newaygo, MI 49337-8029 Ph: (231) 652-1631 |
Michelle Jayme Kloss, DNP, APRN, AGNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 231 W Pine Lake Dr, Newaygo, MI 49337 Phone: 231-652-4107 Fax: 231-652-4620 |