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Individual

DR. TAI-HWANG MICHAEL FAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
440 TAYLOR RD, SUITE 3230, MONTGOMERY, AL 36117-3588
(334) 260-9142
Mailing address
440 TAYLOR RD, SUITE 3230, MONTGOMERY, AL 36117-3588
(334) 260-9142

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
20255
AL

Other

Enumeration date
08/15/2006
Last updated
08/26/2010
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