Individual
JEFFREY W. TAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
CHILDRENS HOSPITAL OF MICHIGAN, 3901 BEAUBIEN BLVD - CARDIOLOGY, DETROIT, MI 48201
(313) 745-5835
(313) 993-0894
Mailing address
CHILDRENS HOSPITAL OF MICHIGAN, 3901 BEAUBIEN BLVD - CARDIOLOGY, DETROIT, MI 48201
(313) 745-5835
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301053916
MI
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
4301053916
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
JT053916
CHAMPUS-CHAMPUS
—
Enumeration date
06/01/2006
Last updated
09/11/2025
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