Individual
MICHAEL TEDROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5900 BYRON CENTER AVE SW, DEPARTMENT OF MEDICAL EDUCATION, WYOMING, MI 49519-9606
(616) 479-6603
Mailing address
445 BRIDGE ST NW # 3, GRAND RAPIDS, MI 49504-5321
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101018155
MI
Other
Enumeration date
06/29/2009
Last updated
06/29/2009
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