Individual
JOHN GABRIEL TAZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3537 W FRONT ST STE E, TRAVERSE CITY, MI 49684-7943
(231) 935-5880
(319) 353-4642
Mailing address
3537 W FRONT ST STE E, TRAVERSE CITY, MI 49684-7943
(231) 935-5880
(319) 353-4642
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007815
MI
Other
Enumeration date
05/24/2016
Last updated
02/02/2023
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