IndividualActive
Christopher Tanner, MD
NPI 1619394723 · Emergency Medicine Physician · Lake Geneva, WI
Provider details
- NPI number
- 1619394723
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 036-141738 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
N2950 State Road 67
Lake Geneva, WI 53147-2655
Phone: (262) 245-4990
Fax: (262) 245-2248
Approximate (ZIP-level) locationGet directions
Mailing address
N2950 State Road 67
Lake Geneva, WI 53147-2655
Registry dates
- Enumerated
- 2014-03-26
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.