| Barry Tanne, M.d. | |
|
403 South Granite Ave Granite Falls WA 98252 | |
| (360) 691-7711 | |
| (360) 691-7864 |
| Full Name | Barry Tanne, M.d. |
|---|---|
| Speciality | Family Medicine |
| Location | 403 South Granite Ave, Granite Falls, Washington |
| Authorized Official Name and Position | Barry Tanne (OWNER) |
| Authorized Official Contact | 3606917711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Barry Tanne, M.d. P.o. Box 1650 Granite Falls WA 98252 Ph: (360) 691-7711 | Barry Tanne, M.d. 403 South Granite Ave Granite Falls WA 98252 Ph: (360) 691-7711 |
| NPI Number | 1760804827 |
|---|---|
| Provider Enumeration Date | 01/09/2014 |
| Last Update Date | 01/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760804827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD00017729 (Washington) | Primary |
Public Hospital Dist No 1 Skagit Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 405 W. Stanley Street, Granite Falls, WA 98252 Phone: 360-619-2419 Fax: 360-691-0489 |