Individual
BRENT TATOMIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
32401 8 MILE RD, LIVONIA, MI 48152-1301
(913) 359-6001
(913) 359-5552
Mailing address
6601 COLLEGE BLVD STE 120, OVERLAND PARK, KS 66211-1504
(913) 359-6001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5151014255
MI
Other
Enumeration date
04/11/2020
Last updated
11/09/2023
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