Individual
TAMMY JUPIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
826 W KING ST, OWOSSO, MI 48867-2120
(616) 975-1845
Mailing address
4100 EMBASSY DR SE STE 200, GRAND RAPIDS, MI 49546-2416
(616) 975-1845
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301508833
MI
207P00000X
Emergency Medicine Physician
Primary
4351047113
MI
Other
Enumeration date
05/21/2020
Last updated
02/25/2025
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