Organization
GRAND RIVER MEDICAL ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMIE TAWEEL D.O. (OWNER, PHYSICIAN)
(248) 264-6169
Entity
Organization
Contact information
Practice address
55840 GRAND RIVER AVE., SUITE 300, NEW HUDSON, MI 48165
(248) 264-6169
(248) 264-6208
Mailing address
55840 GRAND RIVER AVE., SUITE 300, NEW HUDSON, MI 48165
(248) 264-6169
(248) 264-6208
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101016530
MI
Other
Enumeration date
10/07/2014
Last updated
12/10/2014
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