Organization
JAIME F TAN MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIME F TAN MD (OWNER)
(989) 479-2143
Entity
Organization
Contact information
Practice address
2235 S LAKESHORE RD, HARBOR BEACH, MI 48441-8910
(989) 479-2143
Mailing address
2235 S LAKESHORE RD, HARBOR BEACH, MI 48441-8910
(989) 479-2143
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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