Provider Demographics
NPI:1164170700
Name:SCHUH, TANNER (DC)
Entity type:Individual
Prefix:
First Name:TANNER
Middle Name:
Last Name:SCHUH
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 1:524 MILWAUKEE ST STE 308
Mailing Address - Street 2:
Mailing Address - City:DELAFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53018-1461
Mailing Address - Country:US
Mailing Address - Phone:262-433-8595
Mailing Address - Fax:
Practice Address - Street 1:524 MILWAUKEE ST STE 308
Practice Address - Street 2:
Practice Address - City:DELAFIELD
Practice Address - State:WI
Practice Address - Zip Code:53018-1461
Practice Address - Country:US
Practice Address - Phone:262-433-8595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-14
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5734-12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor