Mr. Tanner Michael Fullmer
Mr. Tanner Michael Fullmer is an Otolaryngology in Milwaukee, Wisconsin. Graduated from Medical College of Wisconsin in 2015, 11 years ago. Practices with Columbia St Marys Hospital Milwaukee Inc, a 314-clinician group and accepts Medicare assignment. Licensed in Wisconsin.
- Years since qualifying
- 11
- Trained at
- Medical College of Wisconsin
- Licensed in
- WI
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
Milwaukee, WINo coordinates on file. Search this address in Google Maps
Specialties & licences
| Otolaryngology Physician (primary) | Taxonomy 207Y00000X · Licence 74914 (WI) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1285028753 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 23, 2015 |
| Last updated in NPPES | June 18, 2021 |
| Certification date | June 18, 2021 |
Medicare enrollment
| Medicare specialty | OTOLARYNGOLOGY |
|---|---|
| Medical school | MEDICAL COLLEGE OF WISCONSIN |
| Graduated | 2015 (11 years in practice) |
| Group practice | Columbia St Marys Hospital Milwaukee Inc — 314 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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