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Individual

JAMES MICHAEL TANDROW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
205 BUTTERCUP LOOP, COTTAGE GROVE, OR 97424-2069
(541) 942-7689
Mailing address
205 BUTTERCUP LOOP, COTTAGE GROVE, OR 97424
(541) 942-7689

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD25458
OR

Other

Enumeration date
03/19/2012
Last updated
03/19/2012
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