Individual
THOMAS N TAVARONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FACS
Contact information
Practice address
421 S BALDWIN ST, GREENVILLE, MI 48838-2102
(616) 225-8667
Mailing address
100 MICHIGAN ST NE, MC845, GRAND RAPIDS, MI 49503-2560
(616) 486-6790
(616) 486-6702
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301082748
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105452413
—
MI
Enumeration date
11/30/2005
Last updated
07/30/2013
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