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KATIE TANNER, PA

PA

Physician Assistant

NPI: 1225013634IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

PAC0102(ND)

CMS Specialties

Education

OTHER

Class of 1994

Contact & Hours

Address
819 MAIN ST
LISBON, ND 58054

Quick Facts

NPI
1225013634
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
32

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