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Individual

GABRIEL TALLENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
275 MICHIGAN ST NE FL 9, GRAND RAPIDS, MI 49503-2531
(616) 391-3777
(616) 391-3755
Mailing address
275 MICHIGAN ST NE FL 9, GRAND RAPIDS, MI 49503-2531
(616) 391-3777
(616) 391-3755

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301512114
MI
207R00000X
Internal Medicine Physician
4351049759
MI
208000000X
Pediatrics Physician
4351049759
MI

Other

Enumeration date
04/09/2022
Last updated
02/10/2025
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