National Provider Identifier Database

TANNER J BOMMERSBACH, MD – NPI #1770088676
Child & Adolescent Psychiatry

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.


Contact Information

TANNER J BOMMERSBACH, MD
6001 RESEARCH PARK BLVD
MADISON, WI53719-1176
Phone: 608-232-3171
Fax: 608-262-9246
Website:
Specialty Taxonomy Code
* Child & Adolescent Psychiatry 2084P0804X

* Indicates primary specialty

NPI Profile & details for TANNER J BOMMERSBACH

NPI Number 1770088676
Credentials MD
Entity Individual
Enumeration date 03/24/2018
Last updated 12/12/2024 - More than a year ago
Sole proprietor1 No
Identifiers
  • MN License #: 70965
  • WI License #: 84021
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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