Individual
TED TABOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CGC
Contact information
Practice address
145 MICHIGAN ST NE STE 2200, GRAND RAPIDS, MI 49503-2562
(616) 486-6218
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
7201000557
MI
Other
Enumeration date
06/11/2021
Last updated
08/26/2024
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