Individual
ELLIOT BENJAMIN TAPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 E MEDICAL CENTER DRIVE, 3RD FLOOR TAUBMAN CENTER RECP D, ANN ARBOR, MI 48109-5362
(734) 647-5944
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301109055
MI
207RG0100X
Gastroenterology Physician
Primary
4301109055
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
240180
COMMONWEALTH OF MASSACHUSETTS BOARD OF REGISTRATION IN MEDICINE
MA
Enumeration date
06/15/2009
Last updated
08/16/2016
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