Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Tanner Mack, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1235979758

Mr. Tanner Mack, MD is a Student in an Organized Health Care Education/Training Program in Stanford, California. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

300 Pasteur Dr Rm R309
Stanford, CA 94305
Phone: (650) 497-6371
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1235979758
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 31, 2024
Last updated in NPPESDecember 5, 2024
Mailing address300 Pasteur Drive, Room R309, Stanford, CA 94305

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