Individual
DR. JOSE MARIANO TIU TAN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD-MBA
Contact information
Practice address
2900 BRADFORD ST NE, GRAND RAPIDS, MI 49525-6427
(616) 885-5000
(616) 885-5020
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301112762
MI
Other
Enumeration date
07/17/2014
Last updated
07/21/2022
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