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TANNER FULLMER
Otolaryngology Physician
NPI: 1285028753IndividualAccepts Medicare
Specialties, Licenses & Credentials
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program
Code: 390200000X
Otolaryngology PhysicianPrimary
Otolaryngology
Code: 207Y00000X
74914(WI)
CMS Specialties
PrimaryOTOLARYNGOLOGY
Education
MEDICAL COLLEGE OF WISCONSIN
Class of 2015
Contact & Hours
- Address
- 2311 N PROSPECT AVE
MILWAUKEE, WI 53211 - Phone
- (414) 319-3000
Quick Facts
- NPI
- 1285028753
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 11
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