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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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