Individual
CHERYL TAMBURELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
245 STATE ST SE, GRAND RAPIDS, MI 49503-4328
(616) 685-1808
(616) 685-1850
Mailing address
245 STATE ST SE, GRAND RAPIDS, MI 49503-4328
(616) 685-1808
(616) 685-1850
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301056427
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2994892
—
MI
05
—
3403910
—
MI
05
—
3415887
—
MI
05
—
3436116
—
MI
05
—
4181675
—
MI
05
—
4269765
—
MI
05
—
4278030
—
MI
05
—
4278049
—
MI
05
—
4278076
—
MI
05
—
4278085
—
MI
05
—
4517086
—
MI
05
—
4748163
—
MI
05
—
4878892
—
MI
05
—
4878927
—
MI
05
—
4878936
—
MI
05
—
4878945
—
MI
Enumeration date
05/18/2006
Last updated
06/30/2009
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