Individual
EVAN TANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
275 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2531
(616) 267-7900
(616) 267-7901
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
Primary
5101019162
MI
2084N0400X
Neurology Physician
0102207882
VA
2084N0400X
Neurology Physician
02007671A
IN
2084N0400X
Neurology Physician
5101019162
MI
2084N0400X
Neurology Physician
6514
TN
2084P0800X
Psychiatry Physician
OP70051303
WA
Other
Enumeration date
07/12/2011
Last updated
05/08/2026
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