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Individual

DR. DANNIE L TABOR

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
905 E COLBY ST, WHITEHALL, MI 49461-1262
(231) 728-5910
Mailing address
5481 SCENIC DR, WHITEHALL, MI 49461-9463

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101006323
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3074250
MI
Enumeration date
11/03/2005
Last updated
07/08/2007
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