Daniel Michael Tanner
Daniel Michael Tanner is a Certified Registered Nurse Anesthetist (CRNA) in Detroit, Michigan. Qualified in 2022, 4 years ago. Practices with Northstar Anesthesia of Michigan PLLC, a 190-clinician group and accepts Medicare assignment. Licensed in Michigan.
- Years since qualifying
- 4
- Licensed in
- MI
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
259 Mack AveDetroit, MI 48201-2427
Phone: (248) 705-3365
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Certified Registered Nurse Anesthetist (primary) | Taxonomy 367500000X · Licence 4704326221NSA220NA (MI) |
|---|---|
| Registered Nurse | Taxonomy 163W00000X · Licence 4704326221 (MI) |
Record details
| NPI number | 1902543416 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 16, 2022 |
| Last updated in NPPES | September 8, 2022 |
| Certification date | September 8, 2022 |
Medicare enrollment
| Medicare specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Northstar Anesthesia Of Michigan Pllc — 190 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
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