Individual
DR. TAMER N MASSARANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1579 W BIG BEAVER RD, STE B5, TROY, MI 48084-3504
(248) 614-0124
(248) 614-0126
Mailing address
1579 W BIG BEAVER RD, STE B5, TROY, MI 48084-3504
(248) 614-0124
(248) 614-0126
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301051060
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4212987
—
MI
Enumeration date
10/25/2005
Last updated
06/08/2012
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