Individual
DR. MARWAN S TABBARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1530 NICHOLS RD, KALAMAZOO, MI 49006-2065
(269) 343-6700
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(269) 273-5000
(269) 273-8019
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301071239
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1708146
—
MI
Enumeration date
10/04/2006
Last updated
09/18/2023
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