Individual
DR. PAUL KALING TAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 983-8495
Mailing address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 983-8495
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301035266
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1829007
—
MI
01
—
20047
PHP OF NORTHERN IN
MI
01
—
2415
COMMUNITY CHOICE OF MI
MI
Enumeration date
08/05/2006
Last updated
07/10/2007
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