| 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 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235188673 PECOS PAC ID: 4587568647 Enrollment ID: O20031121000091 |
| 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 |
Leah Wigent, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 W Pine Lake Dr, Newaygo, MI 49337 Phone: 231-652-1631 | |
Kendra Taylor, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 8379 S Mason Dr, Newaygo, MI 49337 Phone: 231-403-5000 | |
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 |