| Tank Consultation Pllc | |
|
6095 Mcallister Ct Se Grand Rapids MI 49546-3836 | |
| (517) 974-7313 | |
| Not Available |
| Full Name | Tank Consultation Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6095 Mcallister Ct Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Evan Tank (PRESIDENT) |
| Authorized Official Contact | 5179747313 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tank Consultation Pllc 6095 Mcallister Ct Se Grand Rapids MI 49546-3836 Ph: (517) 974-7313 | Tank Consultation Pllc 6095 Mcallister Ct Se Grand Rapids MI 49546-3836 Ph: (517) 974-7313 |
| NPI Number | 1134738545 |
|---|---|
| Provider Enumeration Date | 07/31/2020 |
| Last Update Date | 07/31/2020 |
| Certification Date | 07/31/2020 |
| Medicare PECOS PAC ID | 2264844240 |
|---|---|
| Medicare Enrollment ID | O20201216000382 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134738545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Evan Tank |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124316054 PECOS PAC ID: 9931417813 Enrollment ID: I20160623000568 |
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