Individual
MISS TAMARA PAOLA GONZALEZ COPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4735 W RIVER DR NE, COMSTOCK PARK, MI 49321-9602
(616) 784-9400
Mailing address
4735 W RIVER DR NE, COMSTOCK PARK, MI 49321-9602
(616) 784-9400
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4351049611
MI
Other
Enumeration date
07/24/2020
Last updated
06/09/2025
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