Mr. Ross Tanis
Mr. Ross Tanis is a Student in an Organized Health Care Education/Training Program in Madison, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2019.
- Licensed in
- WI
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
302 Samuel Dr Apt 131Madison, WI 53717-2238
Phone: (803) 727-5117
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Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence 77163 (WI) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1861951949 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 18, 2019 |
| Last updated in NPPES | November 15, 2024 |
| Certification date | November 15, 2024 |
| Mailing address | 302 Samuel Dr Apt 131, Madison, WI 53717-2238 |
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