Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL TANNENBAUM, PA
ActiveMICHAEL TANNENBAUM, PA is a Physician Assistant healthcare provider located in MODESTO, California. NPI 1457553885 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MODESTO, CA
Registration Details
- NPI Number
- 1457553885
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 5, 2007 (19.172206709549 yrs)
- Last Updated
- Jun 12, 2009
- License
-
PA01230 (OR)
Practice Information
- Address
-
1808 SCENIC DRAPT 107MODESTO, CA, 95355Browse CA providers · Browse ZIP 95355
- Phone
- 5104098966
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in MODESTO, CA
| Name | Credential | NPI |
|---|---|---|
| KEVIN NOEL BIXEL | PA | 1063403376 |
| MS. BRIGID Q MORGAN | PA | 1093782773 |
| LESLIE ANN HALSETH | PA | 1760445589 |
| MARK J. MADSEN | PA | 1407805757 |
| JASON TOBIAS JAMES | P.A-C | 1114972478 |
| NANCY ANN HOWARD | P.A-C | 1649225871 |
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.