Provider Demographics
NPI:1932830627
Name:HEMER, TANNER MICHAEL (DC)
Entity type:Individual
Prefix:
First Name:TANNER
Middle Name:MICHAEL
Last Name:HEMER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9328 PARKSIDE LN
Mailing Address - Street 2:
Mailing Address - City:URBANDALE
Mailing Address - State:IA
Mailing Address - Zip Code:50322-5273
Mailing Address - Country:US
Mailing Address - Phone:712-371-3605
Mailing Address - Fax:
Practice Address - Street 1:4825 EP TRUE PKWY STE 103
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50265-6403
Practice Address - Country:US
Practice Address - Phone:515-328-8538
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-22
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA115188111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor