Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TANNER J. NISSLY, DO
ActiveTANNER J. NISSLY, DO is a Family Medicine healthcare provider located in MINNEAPOLIS, Minnesota. NPI 1518131093 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · MINNEAPOLIS, MN
Registration Details
- NPI Number
- 1518131093
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 16, 2008 (18.300568819054 yrs)
- Last Updated
- Feb 15, 2013
- License
-
50925 (MN)
Practice Information
- Address
-
1020 W BROADWAY AVEBROADWAY FAMILY MEDICINEMINNEAPOLIS, MN, 554112504Browse MN providers · Browse ZIP 55411
- Phone
- 6123028209
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in MINNEAPOLIS, MN
| Name | Credential | NPI |
|---|---|---|
| DR. PATRICK MICHAEL ROCK | M.D. | 1235134354 |
| DR. MITCHELL J LACOMBE | M.D. | 1336144179 |
| DR. SPENCER ALLAN JOHNSON | MD | 1881692549 |
| KRISTEN O HANSBERRY | MD | 1215936216 |
| GREGORY M AMER | MD | 1033111018 |
| LAWRENCE G MULHERN | MD | 1295737278 |
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.