MICHAEL TANNENBAUM, PA

PA

Physician Assistant

NPI: 1457553885IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

PA01230(OR)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2006

Contact & Hours

Address: 1808 SCENIC DR, APT 107
MODESTO, CA 95355
Phone: (510) 409-8966

Quick Facts

NPI: 1457553885
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 1
Locations: 1
Years in Practice: 20

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