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Individual

JON RICHARD TAPIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BOC ORTHOTIST

Contact information

Practice address
431 FRONT STREET, REPUBLIC, MI 49879
(906) 376-8000
(616) 884-8119
Mailing address
431 FRONT STREET, REPUBLIC, MI 49879
(906) 376-8000
(616) 884-8119

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
246Y00000X
Health Information Specialist/Technologist
EIN81-4646362
MI

Other

Enumeration date
12/09/2016
Last updated
01/10/2018
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