Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TANNER MICHAEL FULLMER
Active Sole ProprietorOtolaryngology · MILWAUKEE, WI
Registration Details
- NPI Number
- 1285028753
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 23, 2015 (11.089582748348 yrs)
- Last Updated
- Jun 18, 2021
- License
-
74914 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2311 N PROSPECT AVEMILWAUKEE, WI, 532114445Browse WI providers · Browse ZIP 53211
- Phone
- 4143193000
- Primary Specialty
-
Otolaryngology
207Y00000X
- Additional Specialty
- Otolaryngology
Other Otolaryngology Providers in MILWAUKEE, WI
| Name | Credential | NPI |
|---|---|---|
| S. FREDRIC HORWITZ I | M.D. | 1184626475 |
| DR. MADAN N KANDULA | M.D. | 1275521288 |
| DAVID T MIYAMA | M.D. | 1568443240 |
| DR. ALEXANDER A ROMASHKO | MD | 1831163963 |
| MARTIN E SAMUEL | MD | 1376500884 |
| STEVEN A HARVEY | MD | 1720045867 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.