License holder summary

Tanner John Nissly is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Tanner John Nissly is Broadway Family Clinic, 1020 West Broadway, Minneapolis, MN 55411. This doctor license is current. The license was granted 07/12/2008 and expired on 04/30/2015.

Department of Safety and Professional Services

Board of Medical Practice

Tanner John Nissly
Medical - Physician And Surgeon
License number
50925
Date granted
07/12/2008
Date expires
04/30/2015
Class
Medical - Physician And Surgeon
Status
Active
Address
Broadway Family Clinic, 1020 West Broadway, Minneapolis, MN 55411
doctorsminnesota.org
ID 22269116
LAST UPDATED 2024-04-24 21:19:31 UTC

This website is unaffiliated with the Board of Medical Practice. Please verify all information directly with the relevant official government authority.

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