Individual
DR. JOSEPH TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
33080 UTICA RD STE B, FRASER, MI 48026-2038
(586) 296-7256
(586) 296-7256
Mailing address
33080 UTICA RD STE B, FRASER, MI 48026-2038
(586) 296-7256
(586) 296-7256
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301508600
MI
207W00000X
Ophthalmology Physician
MD451367
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396978144
—
MI
Enumeration date
08/27/2009
Last updated
09/18/2025
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