# GRAND RIVER MEDICAL ASSOCIATES, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679976526
- **Authorized official:** DR. JAMIE TAWEEL D.O. (OWNER, PHYSICIAN)
- **Authorized official phone:** (248) 264-6169

## Contact information

- **Practice address:** 55840 GRAND RIVER AVE., SUITE 300, NEW HUDSON, MI 48165
- **Practice address phone:** (248) 264-6169
- **Practice address fax:** (248) 264-6208
- **Mailing address:** 55840 GRAND RIVER AVE., SUITE 300, NEW HUDSON, MI 48165
- **Mailing address phone:** (248) 264-6169
- **Mailing address fax:** (248) 264-6208

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 5101016530 | MI | Yes |

## Other

- **Enumeration date:** 10/07/2014
- **Last updated:** 12/10/2014