Individual
DR. SHI-YU TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3150 PACKARD RD, YPSILANTI, MI 48197-1994
(734) 276-7096
Mailing address
3889 MILL POND LN, ANN ARBOR, MI 48108-9413
(734) 276-7096
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4301097627
MI
390200000X
Student in an Organized Health Care Education/Training Program
BP1-0031849
TX
Other
Enumeration date
06/26/2008
Last updated
07/14/2016
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