Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN CLINTON TANNER III, M.D.
ActiveJOHN CLINTON TANNER III, M.D. is a Sports Medicine (Orthopaedic) healthcare provider located in ROBBINSDALE, Minnesota. NPI 1780882662 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Orthopaedic) · ROBBINSDALE, MN
Registration Details
- NPI Number
- 1780882662
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 3, 2007 (19.160079772484 yrs)
- Last Updated
- Aug 26, 2016
- Licenses
-
4301090393 (MI)109070 (MN)
Practice Information
- Address
-
3366 OAKDALE AVE NSUITE 103ROBBINSDALE, MN, 554222948Browse MN providers · Browse ZIP 55422
- Phone
- 7635207870
- Fax
- 7635207580
- Primary Specialty
-
Sports Medicine (Orthopaedic)
207XX0004X
- Additional Specialty
- Sports Medicine (Orthopaedic)
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.