Individual
COLLEEN CHERI TALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
145 MICHIGAN ST NE STE 3410, GRAND RAPIDS, MI 49503-2563
(616) 391-9945
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
4301053281
MI
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
ME120659
FL
Other
Enumeration date
07/09/2006
Last updated
03/03/2021
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