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Tanner Ferderer

Psychiatry & Neurology, Neurology in Kalispell, MT. Individual provider (NPI-1).

NPI number1124472964
StatusActive
Last updated in NPPESFeb 19, 2024

Details

NPI
1124472964
Entity type
Individual (NPI-1)
Name
Tanner Ferderer
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 18, 2016
Certification date
Feb 19, 2024
Last updated
Feb 19, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, NeurologyMED-PHYS-LIC-99882MTYes

Practice location

200 Commons Way Ste C
Kalispell, MT 59901-1915

Phone 406-752-5095 · Fax 406-751-3079

Mailing address

200 Commons Way Ste C
Kalispell, MT 59901-1915

Phone 406-752-5095 · Fax 406-751-3079

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