Individual
PHILIP W TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8333 FELCH ST, SUITE 200, ZEELAND, MI 49464-2608
(616) 772-4846
(616) 748-2855
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
4301046008
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4877385
—
MI
Enumeration date
07/13/2006
Last updated
08/06/2012
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